Individual
EHSAN ALINIAGERDROUDBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 JOHN R ST STE 825, DETROIT, MI 48201-2020
(313) 745-2101
Mailing address
3320 WISCASSET RD APT 106, DEARBORN, MI 48120-1132
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
06/16/2024
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