Individual
GHADEER FATANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
Mailing address
2140 L ST NW APT 402, WASHINGTON, DC 20037-1529
(202) 250-9778
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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