Individual
DR. JALAL PANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 S TELEGRAPH RD, SUITE 108, BLOOMFIELD HILLS, MI 48302-0166
(248) 334-4505
(248) 334-4517
Mailing address
2717 GLENBROOKE CT, BLOOMFIELD HILLS, MI 48302-0966
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301032687
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4251869
—
MI
Enumeration date
08/30/2006
Last updated
07/08/2007
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