Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 4301091349 | MI |
NPI | 1003897562 |
---|---|
Provider Name | Mr. Malaz Almsaddi |
First Address | Bloomfield Hills, MI 48302-0288 |
Second Address | Bloomfield Hills, MI 48302-0288 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 18/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003897562 | (05) | MI |
H05731 | (02) |