Individual
FOUAD MRAD AZOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22201 MOROSS RD, SUITE 356, DETROIT, MI 48236-2169
(313) 343-7444
(313) 343-7999
Mailing address
22201 MOROSS RD, SUITE 356, DETROIT, MI 48236-2169
(313) 343-7444
(313) 343-7999
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301097532
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301097532
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E012740
BCBS GROUP NUMBER
MI
Enumeration date
12/16/2010
Last updated
12/16/2010
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