Individual
DR. LADAN KHOMAMI ZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GENESYS PKWY RM 2620, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
3413 FOLEY GLEN DR, FENTON, MI 48430-3440
(778) 999-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351054464
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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