Individual
DR. FOROUGH ZALLAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 660-1616
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(913) 660-1616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0439610
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982976148
—
MO
Enumeration date
02/03/2012
Last updated
04/05/2018
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