Individual
DR. SYED TABISH AHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, K-14 CARDIOLOGY, DETROIT, MI 48202-2608
(313) 916-2721
Mailing address
2799 W GRAND BLVD, K-14 CARDIOLOGY, DETROIT, MI 48202-2608
(313) 916-2721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008019456
MO
207R00000X
Internal Medicine Physician
25MA08160000
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
4301100056
MI
207RC0000X
Cardiovascular Disease Physician
MD.204455
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851568216
—
MI
Enumeration date
05/14/2008
Last updated
01/17/2014
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