Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 4301034515 | MI |
NPI | 1255326013 |
---|---|
Provider Name | Minuchehr Kashef |
First Address | Clinton Twp, MI 48038-1136 |
Second Address | Detroit, MI 48236-2167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6052470 | (05) | MI |
E30674 | (02) |