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Individual

GANJ BEEBANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 874-6677
Mailing address
1 FORD PL STE 2E, DETROIT, MI 48202-3450
(313) 874-4806

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301503912
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/28/2017
Last updated
05/04/2021
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