Individual provider · Type 1 NPI

Carlesha Ashanti Blades, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1679218523 Active

Practice location

4201 St. Antoine Boulevard
Detroit, MI 48201

Call (313) 745-3000 Map

Fax (313) 993-8669

Mailing address

3730 4th St
Detroit, MI 48201

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X4321049799 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679218523

Carlesha Ashanti Blades, MD's National Provider Identifier is 1679218523, issued on May 4, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Dec 5, 2022.