Individual
DR. HENNA KHALID TIRMIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301504498
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2009
Last updated
07/21/2021
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