Individual
BASHAR SHABB QALIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8550 W GRAND RIVER AVE, SUITE 300, BRIGHTON, MI 48116-4352
(810) 220-3700
(810) 220-1321
Mailing address
8550 W GRAND RIVER AVE, SUITE 300, BRIGHTON, MI 48116-4352
(810) 220-3700
(810) 220-1321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301061323
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4929561
—
MI
01
—
BQ061323
BCBS OF MICHIGAN
MI
Enumeration date
07/04/2006
Last updated
07/09/2007
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