Individual
REZA GHAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1868 KIRTS BLVD, APT NO#208, TROY, MI 48084-4337
(310) 334-9520
Mailing address
1868 KIRTS BLVD, APT NO#208, TROY, MI 48084-4337
(310) 334-9520
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301094771
MI
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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