Organization
ZAKWAN MAHJOUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI WHITE (PRACTICE MANAGER)
(248) 710-1000
Entity
Organization
Contact information
Practice address
811 SOUTH BLVD E STE 105, ROCHESTER HILLS, MI 48307-5303
(248) 710-1000
(248) 710-1011
Mailing address
811 SOUTH BLVD E., STE 105, ROCHESTER HILLS, MI 48307-5303
(248) 710-1000
(248) 710-1011
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301067249
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301067249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104254136
—
MI
Enumeration date
02/02/2016
Last updated
06/23/2026
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