Individual
DR. ASADOLLAH SHAHIDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4792 ROCHESTER RD, STE A, TROY, MI 48085-4929
(248) 528-9010
(248) 528-2162
Mailing address
5155 NORKO DR, FLINT, MI 48507-3021
(810) 720-6700
(810) 230-7764
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301035596
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1094629
—
MI
Enumeration date
11/08/2005
Last updated
02/14/2014
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