Healthcare Provider Details

I. General information

NPI: 1780874909
Provider Name (Legal Business Name): DR. ARIEL Q MAJJHOO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 06/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 N MONROE ST
MONROE MI
48162-3113
US

IV. Provider business mailing address

1030 N MONROE ST
MONROE MI
48162-3113
US

V. Phone/Fax

Practice location:
  • Phone: 734-682-3309
  • Fax: 734-682-1488
Mailing address:
  • Phone: 734-682-3309
  • Fax: 734-682-1488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number4301090733
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number4301090733
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: