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Individual

DR. NASSER ELSOURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4646 JOHN R ST, 11M, DETROIT, MI 48201-1916
(313) 576-3724
Mailing address
4049 GLENCASTLE DR, TROY, MI 48098-6342
(313) 737-9731

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101268545
VA
207R00000X
Internal Medicine Physician
4301080157
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101268454
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35135469
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301080157
MI

Other

Enumeration date
08/05/2006
Last updated
12/01/2023
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