Healthcare Provider Details

I. General information

NPI: 1346292935
Provider Name (Legal Business Name): M. HANIF PERACHA , M.D. , P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 N MONROE ST
MONROE MI
48162-2936
US

IV. Provider business mailing address

725 N MONROE ST
MONROE MI
48162-2936
US

V. Phone/Fax

Practice location:
  • Phone: 734-242-2727
  • Fax: 734-242-2745
Mailing address:
  • Phone: 734-242-2727
  • Fax: 734-242-2745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ZUHAIR HANIF PERACHA
Title or Position: OWNER
Credential: M.D.
Phone: 734-242-2727