Organization
MAHIR D ELDER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHIR D ELDER M.D. (PRESIDENT)
(313) 993-7777
Entity
Organization
Contact information
Practice address
4160 JOHN R ST STE 510, DETROIT, MI 48201-2021
(313) 999-2222
(313) 993-2563
Mailing address
4160 JOHN R ST STE 510, DETROIT, MI 48201-2021
(313) 993-7777
(313) 993-2563
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME073824
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105174942
—
MI
01
—
I60238
UPIN
MI
Enumeration date
11/10/2009
Last updated
11/12/2009
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