Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 4301505425 | MI |
N | 204F00000X | Transplant Surgeon | AL37466 | SC |
N | 204F00000X | Transplant Surgeon | ME135627 | FL |
NPI | 1245503788 |
---|---|
Provider Name | Emad Kishi |
First Address | Farmington Hills, MI 48336-2751 |
Second Address | Detroit, MI 48236-2148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2012 |
Last Update Date | 21/09/2021 |