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Individual

DR. MIR BABAR BASIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2799 W GRAND BLVD, K-14, DETROIT, MI 48202-2608
(262) 501-2081
Mailing address
2799 W GRAND BLVD, K-14, DETROIT, MI 48202-2608
(262) 501-2081

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101020611
MI
207RI0011X
Interventional Cardiology Physician
Primary
5101020611
MI

Other

Enumeration date
06/21/2010
Last updated
05/04/2018
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