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Individual

DR. GHAZAWAN K KASHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
35200 DEQUINDRE RD STE 600, STERLING HEIGHTS, MI 48310-4841
(248) 786-8800
(586) 722-7446
Mailing address
35200 DEQUINDRE RD STE 600, STERLING HEIGHTS, MI 48310-4841
(248) 786-8800

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301083271
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0N40170
MEDICARE GROUP NUMBER
MI
05
1326250754
MI
01
700E012740
BCBS GROUP NUMBER
MI
01
GK083271
MICHIGAN LICENSE
MI
Enumeration date
05/06/2007
Last updated
03/29/2022
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