Individual
GHADA HARSOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3950 BEAUBIEN - 1ST FL, CHILDREN'S HOSPITAL OF MI - SPECIALTY CENTER, DETROIT, MI 48201
(313) 832-9330
(313) 993-8685
Mailing address
4201 SAINT ANTOINE ST, UNIVERSITY PEDIATRICIANSUHC 5D - MAILBOX #226, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301110025
MI
2080A0000X
Pediatric Adolescent Medicine Physician
4301110025
MI
Other
Enumeration date
05/12/2012
Last updated
08/20/2016
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