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Individual

DR. QAISER SHAFIQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15150 FORT ST, SOUTHGATE, MI 48195
(734) 282-4800
(734) 282-9302
Mailing address
15150 FORT ST, SOUTHGATE, MI 48195-1302
(734) 282-4800
(734) 282-9302

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243643
MA
207R00000X
Internal Medicine Physician
35.092375
OH
207RC0000X
Cardiovascular Disease Physician
35.092375
OH
207RI0011X
Interventional Cardiology Physician
Primary
4301116187
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0174144
OH
Enumeration date
07/30/2008
Last updated
04/12/2024
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