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Search › Michigan › 363LA2100X

Masoumeh Khosraviardakani, NP

NPI 1467008086 · on the registry since 2019

Practice

Address
4201 Saint Antoine St Ste 8d
Detroit, MI 48201
Phone
(313) 745-4275
Fax
(313) 577-4641
Organisation at this address
Walgreen Co
Family Service
Vhs Of Michigan
Ahmed Sawah Md Pc
Rehab Alliance Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
803

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan