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Contact Information

MOHSEN BANNAZADEH
3601 W 13 MILE RD
ROYAL OAK, MI48073-6712
 Phone: 248-898-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MOHSEN BANNAZADEH · (Male)

NPI # 1134354988
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2009
Last updated 05/22/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301094234
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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