Individual
FATIN ANTUWAN SAHHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M D
Contact information
Practice address
19460 GRAND RIVER AVE, DETROIT, MI 48223-1200
(313) 387-1097
(313) 387-8795
Mailing address
19460 GRAND RIVER AVE, DETROIT, MI 48223-1200
(313) 387-1097
(313) 387-8795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301101666
MI
Other
Enumeration date
07/24/2012
Last updated
09/10/2020
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