Individual
DR. ALI N KADDOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24825 MICHIGAN AVE, SUITE B, DEARBORN, MI 48124-1757
(313) 565-3365
(313) 565-3440
Mailing address
24825 MICHIGAN AVE, SUITE B, DEARBORN, MI 48124-1757
(313) 565-3365
(313) 565-3440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AK060472
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3241017
—
MI
Enumeration date
06/17/2006
Last updated
12/18/2009
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