MEDICARE: MUNA BEEAI MD

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	MB0634546	MI
2	207R00000X	Internal Medicine Physician	4301063546	MI

General Provider Information

NPI Number	:	1689676215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUNA BEEAI MD

Provider Business Mailing Address
First Line	:	18450 MACK AVE
Second Line	:
City	:	GROSSE POINTE FARMS
State	:	MI
Zip	:	48236-3222
Country	:	US
Telephone Number	:	313-992-1039
Fax Number	:

Provider Business Practice Location Address
First Line	:	18450 MACK AVE
Second Line	:
City	:	GROSSE POINTE FARMS
State	:	MI
Zip	:	48236-3222
Country	:	US
Telephone Number	:	313-992-1039
Fax Number	:

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/06/2023

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