Individual
MOHANTARA KAVEESHVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 29200 SCHOOLCRAFT, LIVONIA, MI 48150
(734) 523-1050
(734) 523-2464
Mailing address
HENRY FORD HEALTH SYSTEM, 29200 SCHOOLCRAFT, LIVONIA, MI 48150
(734) 523-1050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301045753
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MK045753
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/01/2006
Last updated
07/08/2007
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