Individual
DR. HUDSON H DANESHVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
32950 5 MILE RD, LIVONIA, MI 48154-6802
(734) 422-2020
(734) 422-4040
Mailing address
32950 5 MILE RD, LIVONIA, MI 48154-6802
(734) 422-2020
(734) 422-4040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301081239
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106349751
BCBS
MI
01
—
134289255
COMMERCIAL/TAX ID
MI
01
—
141151
CARE CHOICE/PREF CH
MI
05
—
4788169
—
MI
Enumeration date
04/19/2006
Last updated
09/26/2012
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