Individual
LUBNA IQBAL FATIWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST # 2E, DETROIT, MI 48201-2153
(313) 745-4832
Mailing address
4201 SAINT ANTOINE ST STE 2E, DETROIT, MI 48201-2153
(313) 745-4832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301500795
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2016
Last updated
11/21/2019
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