Individual
MIAN OMAR IFTIKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-6233
Mailing address
900 MARTIN LUTHER KING JR BLVD S, APT F-25, PONTIAC, MI 48341-2900
(347) 681-4937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301105336
MI
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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