Individual
DR. MANINDER MAHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
19036 WICKLOW DR, MACOMB, MI 48044-9702
(312) 860-3033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301099418
MI
207R00000X
Internal Medicine Physician
FELMD2020-053
NM
Other
Enumeration date
07/05/2011
Last updated
02/11/2021
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