Organization
SOUDABEH AHADI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOUDABEH AHADI M.D. (PRESIDENT)
(734) 242-2022
Entity
Organization
Contact information
Practice address
55 COLE RD, MONROE, MI 48162-4103
(734) 242-2022
(734) 242-2251
Mailing address
55 COLE ROAD, MONROE, MI 48162
(734) 242-2022
(734) 242-2251
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301036376
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05810281
BCBS
MI
05
—
1096347
—
MI
Enumeration date
05/01/2008
Last updated
11/04/2009
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