Individual
NIZAAMUDDEEN TOOFANNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 W 13 MILE RD, STE 108, ROYAL OAK, MI 48073-6769
(248) 423-3144
Mailing address
3601 W 13 MILE RD, 400 FSC - PCS, ROYAL OAK, MI 43073-6769
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301061198
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F376980
BCBSM
MI
05
—
4431268
—
MI
Enumeration date
03/24/2006
Last updated
12/22/2011
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