Individual
DR. MAMTA KANWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33400 6 MILE RD, LIVONIA, MI 48152-3165
(734) 421-2020
(734) 421-2290
Mailing address
30150 TELEGRAPH RD STE 271, BINGHAM FARMS, MI 48025-4521
(248) 395-5166
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301508884
MI
Other
Enumeration date
04/27/2018
Last updated
07/11/2023
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