MEDICARE: DR. MOHAMMAD F KATRANJI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	5101016598	MI
2	207RP1001X	Pulmonary Disease Physician	5101016598	MI

General Provider Information

NPI Number	:	1215143300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMAD F KATRANJI DO

Provider Business Mailing Address
First Line	:	640 S TRUMBULL ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7656
Country	:	US
Telephone Number	:	989-893-7460
Fax Number	:

Provider Business Practice Location Address
First Line	:	640 S TRUMBULL ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7656
Country	:	US
Telephone Number	:	989-893-7460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	11/28/2012

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