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General NPI Number Information
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NPI Number | 1164620175
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Entity Type | Organization
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Legal Business Name | M A HAROON, MD, PC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 02/11/2011
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Provider Practice Location Address
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Address Line | 24887 GODDARD RD
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City | TAYLOR
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State | MI
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Zip | 48180-3930
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Country | US
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Telephone | 734-946-7200
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Fax | 734-946-5551
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Provider Business Mailing Address
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Address Line | 24887 GODDARD RD
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City | TAYLOR
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State | MI
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Zip | 48180-3930
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Country | US
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Telephone | 734-946-7200
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Fax | 734-946-5551
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANZOOR HAROON
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Credential | M.D.
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Telephone | 734-946-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301036971
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License Number State | MI
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