Individual
TARIQ SHIHABUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5097 MANSFIELD AVE, ROYAL OAK, MI 48073-1104
(347) 563-5610
Mailing address
5097 MANSFIELD AVE, ROYAL OAK, MI 48073-1104
(347) 563-5610
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301092888
MI
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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