Healthcare Provider Details

I. General information

NPI: 1952408932
Provider Name (Legal Business Name): ABDALMAJID KATRANJI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 MERRITT RD SUITE 101
EAST LANSING MI
48823-6916
US

IV. Provider business mailing address

2111 MERRITT RD SUITE 101
EAST LANSING MI
48823-6916
US

V. Phone/Fax

Practice location:
  • Phone: 517-332-4263
  • Fax: 517-332-1132
Mailing address:
  • Phone: 517-332-4263
  • Fax: 517-332-1132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number4301080828
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301080828
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number4301080828
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: