Individual
SAMANEH ASHKTORAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP A, ANN ARBOR, MI 48109-5000
(734) 936-8051
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108-1633
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301107019
MI
390200000X
Student in an Organized Health Care Education/Training Program
A-236-758-013-883
MD
Other
Enumeration date
03/27/2010
Last updated
12/03/2021
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