Organization
KC PATHOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAFIQUL ALAM MD (GENERAL PARTNER)
(248) 283-1100
Entity
Organization
Contact information
Practice address
44400 VAN DYKE AVE, STERLING HEIGHTS, MI 48314-2370
(734) 717-2895
Mailing address
30700 TELEGRAPH RD STE 1645, BINGHAM FARMS, MI 48025-4525
(248) 283-1100
(248) 283-1103
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
11/08/2022
Last updated
04/24/2023
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