Basic Information
| Provider Information | |||||||||
| NPI: | 1629166582 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | MUNKARAH | ||||||||
| FirstName: | ADNAN | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3031 W GRAND BLVD | ||||||||
| Address2: | NEW CENTER ONE, 7TH FLOOR, WOMEN'S HEALTH DEPARTMENT | ||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482023046 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3139162493 | ||||||||
| FaxNumber: | 3139161025 | ||||||||
| Practice Location | |||||||||
| Address1: | 2799 W GRAND BLVD | ||||||||
| Address2: | HENRY FORD HOSPITAL, K BUILDING- 9TH FLOOR | ||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482022608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3139162465 | ||||||||
| FaxNumber: | 3139161025 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2006 | ||||||||
| LastUpdateDate: | 08/06/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VX0201X | 4301406838 | MI | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology |
No ID Information.