Individual
DR. MOHAMED-IQBAL PASHA ROUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD # 417, DETROIT, MI 48202-2608
(313) 916-8144
(313) 916-4460
Mailing address
2799 W GRAND BLVD, CFP 417, DETROIT, MI 48202
(313) 916-8144
(313) 916-4460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301079037
MI
208M00000X
Hospitalist Physician
4301079037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4775017/10
—
MI
05
—
48473410
—
MI
Enumeration date
07/18/2005
Last updated
02/21/2024
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