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General NPI Number Information
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NPI Number | 1992172555
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Entity Type | Organization
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Legal Business Name | OAKLAND INTERNIST PC
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 09/16/2015
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Provider Practice Location Address
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Address Line | 33110 W 12 MILE RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3307
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Country | US
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Telephone | 313-598-5313
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Fax |
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Provider Business Mailing Address
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Address Line | 5289 HOLLOW DR
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-2507
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Country | US
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Telephone | 313-598-5313
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. NAUSHABA MOHIUDDIN
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Credential | MD
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Telephone | 313-574-1136
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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 | NM074165
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License Number State | MI
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