Individual
DR. SHAPOOR SHALILVAND ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
2590 N MONROE ST, MONROE, MI 48162-4206
(734) 243-4000
Mailing address
2590 N MONROE ST, MONROE, MI 48162-4206
(734) 243-4000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301032566
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
C52630
CA
Other
Enumeration date
01/18/2008
Last updated
08/21/2012
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