Individual
SULTANA ROKEYA GHUZNAVI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25412 GODDARD RD, TAYLOR, MI 48180-6200
(313) 292-4110
(313) 292-9512
Mailing address
25412 GODDARD RD, TAYLOR, MI 48180-6200
(313) 292-4110
(313) 292-9512
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301040612
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1432673
—
MI
Enumeration date
06/11/2006
Last updated
07/08/2007
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