Individual
DR. IZZAT ELIAS CAROUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
29877 TELEGRAPH RD, SUITE 401, SOUTHFIELD, MI 48034-7661
(248) 354-0730
(248) 354-1652
Mailing address
3192 HEDGEWOOD LN, ROCHESTER HILLS, MI 48309-4509
(248) 230-7896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301079695
MI
Other
Enumeration date
10/03/2006
Last updated
03/29/2013
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