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NPI Code Detail

MEDICARE: DR. ANWAR ZAITOUN M.D.

MEDICARE: DR. ANWAR ZAITOUN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician4301098817MI
2207RI0011XInterventional Cardiology Physician4301098817MI

General Provider Information

NPI Number : 1427346121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANWAR ZAITOUN M.D.
Provider Business Mailing Address
First Line : 6122 W PIERSON RD UNIT 1
Second Line :
City : FLUSHING
State : MI
Zip : 48433-3104
Country : US
Telephone Number : 810-600-3399
Fax Number :
Provider Business Practice Location Address
First Line : 6122 W PIERSON RD UNIT 1
Second Line :
City : FLUSHING
State : MI
Zip : 48433-3104
Country : US
Telephone Number : 810-600-3399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2011
Last Update Date : 12/01/2024

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