Individual
DR. FOAZ KAYALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670
(413) 794-0000
Mailing address
4950 S ELLIS AVE, CHICAGO, IL 60615-2708
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301114418
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871882365
—
MI
Enumeration date
04/05/2011
Last updated
05/21/2018
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