Ziadeh, Mark J

Ziadeh, Mark J is an sole proprietor health care provider with primary practice located at 23332 Farmington Road #1120, Farmington Hills MI 48332. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine. Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine is his primary health care specialty. Ziadeh, Mark J can be contacted via phone (248) 478-5645.

Contact Information

Primary practice address
23332 Farmington Road #1120 Farmington Hills MI 48332
Phone: (248) 478-5645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301059318 Michigan
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X 4301059318 Michigan

Profile Details

NPI number 1649352543
LBN Legal business name Ziadeh, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated May 26th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649352543 NPPES
Michigan MEDICAID 4472761

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