Individual
FATIMA GHANDOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3031 W GRAND BLVD STE 600, DETROIT, MI 48202-3014
(734) 272-6376
Mailing address
3031 W GRAND BLVD STE 600, DETROIT, MI 48202-3014
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4351048785
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
07/22/2021
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