Individual
DR. IYAD J ALOSACHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23411 JOHN R RD, HAZEL PARK, MI 48030-1404
(248) 399-6777
(248) 399-3912
Mailing address
23411 JOHN R RD, HAZEL PARK, MI 48030-1404
(248) 399-6777
(248) 399-3912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301064763
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063 5901
BCBS PIN
MI
01
—
135819
CARE-PREFERRED CHOICES
MI
05
—
1457335713
—
MI
01
—
G54089
HAP
MI
01
—
P00072773
RR MEDICARE
MI
Enumeration date
12/01/2005
Last updated
05/21/2010
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