Individual
AMITABH PAHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4420 E DAVISON ST, DETROIT, MI 48212-1744
(313) 369-1500
(313) 369-1205
Mailing address
4420 E DAVISON ST, DETROIT, MI 48212-1744
(313) 369-1500
(313) 369-1205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301064576
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4478166-10
—
MI
Enumeration date
01/31/2006
Last updated
03/02/2014
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