Individual
MS. MARCELLA KADDOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(313) 701-3797
Mailing address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-5302
(305) 243-5546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME156700
FL
207RH0003X
Hematology & Oncology Physician
Primary
4301515227
MI
207RH0003X
Hematology & Oncology Physician
ME156700
FL
Other
Enumeration date
04/11/2016
Last updated
12/11/2025
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