Individual
ABDULRADHA ALQALLAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 870-7992
Mailing address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 870-7992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L1811609
MI
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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