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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104254136
—
MI
Enumeration date
02/02/2016
Last updated
06/11/2021
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