Provider Demographics
NPI:1144450313
Name:NAFSOU, MONICA MAKA (DO)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:MAKA
Last Name:NAFSOU
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Gender:F
Credentials:DO
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Mailing Address - Street 1:UNIVERSITY PEDIATRICIAN
Mailing Address - Street 2:4201 ST. ANTOINE UHC 5D MAILBOX # 226
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-966-5051
Mailing Address - Fax:313-966-0665
Practice Address - Street 1:CHILDREN'S HOSPITAL OF MI/ 4 FLOOR MAIN BLDG
Practice Address - Street 2:3901 BEAUBIEN
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-5638
Practice Address - Fax:313-745-5867
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2015-12-03
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Provider Licenses
StateLicense IDTaxonomies
MI5101018161208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine