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Individual

MAHDOKHT M RABBANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
20225 E 9 MILE RD, SUITE A2, SAINT CLAIR SHORES, MI 48080-1775
(586) 775-4711
(586) 775-4050
Mailing address
43750 GARFIELD RD, SUITE 104, CLINTON TWP, MI 48038-1135
(586) 226-6865
(586) 226-6880

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
4301047003
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4416403
MI
Enumeration date
03/24/2007
Last updated
07/09/2007
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