MOHAMMAD GHAEMI M. D. NPI 1508287632

NPI Information

NPI: 1508287632
Provider Name: MOHAMMAD GHAEMI, M. D.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4792 ROCHESTER RD
SUITE B
TROY, MI
ZIP 48085
Phone: (248) 528-3720
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MOHAMMAD GHAEMI, M. D. is a health service clinic center in Troy, MI. MOHAMMAD GHAEMI, M. D. NPI is 1508287632. The provider is registered as an organization entity type.

The provider's business location address is:

4792 ROCHESTER RD
SUITE B
TROY, MI
ZIP 48085-989
Phone: (248) 528-3720
Fax: (248) 528-3721

The provider's authorized official is Mohammad Ghaemi .
The authorized official title is M.d. Owner and has the following contact phone number (248) 528-3720.

The enumeration date for this NPI number is 12/16/2013 and was last updated on 12/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	MG031276	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2121856	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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