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Individual

KHADIJA DOHADWALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5447 WOODWARD AVE, DETROIT, MI 48202-4009
(313) 832-1100
Mailing address
35135 PENNINGTON DR, FARMINGTON HILLS, MI 48335-2044
(313) 207-4338

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501014524
MI

Other

Enumeration date
04/06/2010
Last updated
04/06/2010
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