Most Relevant Information
Provider Data
| NPI Number: | 1003589656 |
| Provider Name: | NAZILA AZORDEGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 207ZP0101X |
| Specialty: | Pathology |
| License Number: | C168920 |
Most Important Dates
| Enumeration Date: | 07/29/2021 |
| Last Updated: | 09/02/2021 |
Provider Practice Location
2799 W GRAND BLVD
DETROIT
MI
482022608
Practice Location Phone/Fax
| Phone: | 8006536568 |
| Fax: |
Provider Mailing Location
2799 W GRAND BLVD
DETROIT
MI
482022608
Provider Mailing Phone/Fax
| Phone: | 8006536568 |
| Fax: |