Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 7730 | NE |
N | 111NI0900X | Internist | 7730 | NE |
NPI | 1003268954 |
---|---|
Provider Name | Laila Alia Gharzai |
First Address | Ann Arbor, MI 48109-5010 |
Second Address | Chicago, IL 60611-2908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2016 |
Last Update Date | 29/06/2021 |