Individual
OUDAI HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202
(800) 653-6568
Mailing address
6023 HICKORY TREE TRL, BLOOMFIELD HILLS, MI 48301-1341
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
33267
OK
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
4301100734
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301100734
MI
390200000X
Student in an Organized Health Care Education/Training Program
5315055196
MI
Other
Enumeration date
09/13/2012
Last updated
07/10/2018
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