Individual
HIRVA MANSURALI MAMDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8627
Mailing address
1891 KIRTS BLVD, APT 210, TROY, MI 48084
(909) 525-0093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301098222
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301098222
MI
Other
Enumeration date
07/06/2011
Last updated
03/17/2018
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