Individual
OBADAH FAROUK ALQUADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 BEAUBIEN BLVD, PROGRAM COORDINATOR PEDIATRIC EDUCATION DEPARTMENT, DETROIT, MI 48201
(313) 745-1892
Mailing address
1971 CHENE CT APT 201, DETROIT, MI 48207-4928
(313) 680-8076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301504034
MI
Other
Enumeration date
04/11/2018
Last updated
06/29/2021
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