Organization
CEDAR MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHADI G GHORAYEB MD (OWNER)
(313) 563-5757
Entity
Organization
Contact information
Practice address
1951 MONROE ST, DEARBORN, MI 48124-2916
(313) 563-5757
(313) 563-5760
Mailing address
1951 MONROE ST, DEARBORN, MI 48124-2916
(313) 563-5757
(313) 563-5760
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
GG078483
MI
207R00000X
Internal Medicine Physician
Primary
GG078483
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H232600
BCN
MI
Enumeration date
11/15/2007
Last updated
04/26/2017
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