Individual
DR. MANSOOR G NAINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4020 VENOY RD, SUITE 200, WAYNE, MI 48184-1869
(734) 459-7444
(734) 459-7744
Mailing address
2294 LONE PINE RD, WEST BLOOMFIELD, MI 48323-3611
(734) 459-7444
(734) 459-7755
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MN036991
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405307
—
MI
Enumeration date
03/28/2006
Last updated
05/15/2014
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