Individual
MASHKUR HUSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15150 FORT ST, SOUTHGATE, MI 48195-1302
(734) 282-4800
(734) 282-9302
Mailing address
15150 FORT ST, SOUTHGATE, MI 48195-1302
(734) 282-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301101233
MI
207RC0000X
Cardiovascular Disease Physician
4301101233
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301101233
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
05/30/2020
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