Individual
DR. KORIAL J ATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29425 NORTHWESTERN HWY, SUITE 200, SOUTHFIELD, MI 48034-1080
(248) 948-6900
(248) 948-6904
Mailing address
29425 NORTHWESTERN HWY, SUITE 200, SOUTHFIELD, MI 48034-1080
(248) 948-6900
(248) 948-6904
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
KA036080
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0635164
BCBS OF MICHIGAN
MI
01
—
101112
CARE CHOICES
MI
01
—
120482-0007
WELLNESS PLAN
MI
01
—
214011
OMNI CARE
MI
01
—
2334010005
CIGNA
MI
01
—
383472675
AETNA
MI
05
—
4188765
—
MI
01
—
B47270
HEALTH ALLIANCE PLAN
MI
01
—
C8024
M-CARE
MI
Enumeration date
05/10/2006
Last updated
05/15/2008
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