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General NPI Number Information
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NPI Number | 1689828238
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Entity Type | Individual
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Provider Name | M. CHADI ALRAIES MD
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Gender | Male
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 311 MACK AVE STE 64100
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City | DETROIT
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State | MI
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Zip | 48201
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Country | US
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Telephone | 313-832-0303
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Fax | 313-745-9222
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Provider Business Mailing Address
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Address Line | 6850 RESERVE RD
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-1392
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-091130
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036148662
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 4301113969
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License Number State | MI
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