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NPI Code Detail

MEDICARE: DR. MOHAMMAD HANIF PERACHA M.D.

MEDICARE: DR. MOHAMMAD HANIF PERACHA M.D.
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
1174400000XSpecialistB42971MI
2207W00000XOphthalmology PhysicianMP031547MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346243060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD HANIF PERACHA M.D.
Provider Business Mailing Address
First Line : 725 N. MONROE ST.
Second Line :
City : MONROE
State : MI
Zip : 48162-2936
Country : US
Telephone Number : 734-242-2727
Fax Number : 734-242-2745
Provider Business Practice Location Address
First Line : 725 N MONROE ST
Second Line :
City : MONROE
State : MI
Zip : 48162-2936
Country : US
Telephone Number : 734-242-2727
Fax Number : 734-242-2745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 03/23/2011

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