Individual
MUJTABA MOAZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 W. 13 MILE ROAD, ROYAL OAK, MI 48073
(248) 551-3000
(248) 551-9425
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
4351051684
MI
Other
Enumeration date
06/26/2023
Last updated
05/02/2024
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