Individual
ZAKWAN MAHJOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
811 E SOUTH BLVD STE 105, ROCHESTER HILLS, MI 48307-5303
(248) 710-1000
(248) 710-1011
Mailing address
811 SOUTH BLVD E STE 105, ROCHESTER HILLS, MI 48307-5359
(248) 710-1000
(248) 710-1011
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301067249
MI
207RI0011X
Interventional Cardiology Physician
4301067249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104254136
—
MI
01
—
700F37550
BCBSM
MI
01
—
F32288
HAP
MI
Enumeration date
03/16/2006
Last updated
05/13/2021
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