Individual
MASUD IMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 6777 WEST MAPLE ROAD, WEST BLOOMFIELD, MI 48323
(248) 661-6455
Mailing address
HENRY FORD HEALTH SYSTEM, 6777 WEST MAPLE ROAD, WEST BLOOMFIELD, MI 48323
(248) 661-6455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301038252
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177293310
—
MI
01
—
700H262180
BLUE CROSS-BLUE CROSS
—
01
—
MI038252
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/17/2006
Last updated
04/06/2018
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