Provider Demographics
NPI:1578846440
Name:ALIBHAI, ZISHAN (MD, FRCPC)
Entity Type:Individual
Prefix:DR
First Name:ZISHAN
Middle Name:
Last Name:ALIBHAI
Suffix:
Gender:M
Credentials:MD, FRCPC
Other - Prefix:DR
Other - First Name:ZISHAN
Other - Middle Name:
Other - Last Name:ALIBHAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, FRCPC
Mailing Address - Street 1:2524 TIMBERWYCK TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-4104
Mailing Address - Country:US
Mailing Address - Phone:248-566-3786
Mailing Address - Fax:
Practice Address - Street 1:540 E CANFIELD ST
Practice Address - Street 2:1212 SCOTT HALL
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-1928
Practice Address - Country:US
Practice Address - Phone:248-795-4276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI(PENDING)2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology