Individual
SHADA AL ANANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22201 MOROSS RD STE 275, DETROIT, MI 48236-2176
(313) 343-6840
(313) 343-6822
Mailing address
46591 ROMEO PLANK RD STE 137, MACOMB, MI 48044-5743
(313) 343-6840
(313) 343-6822
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
125.054443
IL
Other
Enumeration date
04/14/2009
Last updated
04/13/2021
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