Individual
DR. AZAM BASHEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 436-7936
Mailing address
1350 W BETHUNE ST APT 2007, DETROIT, MI 48202-2667
(551) 206-6184
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301097080
MI
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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