Organization
REZA KAHNAMOUEI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMADREZA KAHNAMOUEI M.D. (SOLE MEMBER)
(313) 622-0582
Entity
Organization
Contact information
Practice address
43301 COMMONS DR, CLINTON TWP, MI 48038-1109
(586) 745-3006
(586) 935-3762
Mailing address
1401 KIRKWAY RD, BLOOMFIELD HILLS, MI 48302-1318
(313) 622-0582
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
4301090040
MI
Other
Enumeration date
06/06/2012
Last updated
02/16/2014
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