Individual
MS. TASNEEM FATIMA MOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301502259
MI
207R00000X
Internal Medicine Physician
5315064582
MI
Other
Enumeration date
03/31/2014
Last updated
05/28/2020
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