Individual
BNAN RAZOKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6014 QUAKER HILL DR, WEST BLOOMFIELD, MI 48322-3175
(248) 661-0288
Mailing address
34764 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5279
(586) 883-6787
(586) 883-6103
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301082048
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811187149
NPI
MI
Enumeration date
08/25/2006
Last updated
09/26/2016
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