Individual
LUAI FADI MADANAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE ROAD, ROYAL OAK, MI 48073
(248) 898-4163
(248) 898-4163
Mailing address
3601 W 13 MILE ROAD, ROYAL OAK, MI 48073
(248) 551-3000
(248) 551-9425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351046277
MI
207RC0000X
Cardiovascular Disease Physician
4351046277
MI
Other
Enumeration date
06/15/2020
Last updated
06/13/2023
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