Individual
MR. BISCHAN HASSUNIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 PAGE AVE, SUITE B, JACKSON, MI 49201
(517) 787-3577
(517) 787-4280
Mailing address
2271 CHARTER DR, APT 106, TROY, MI 48083
(248) 619-7465
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301080801
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301080801
MI
Other
Enumeration date
08/09/2006
Last updated
12/30/2016
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