MEDICARE: MOHAMMED A ARMAN MD, PC

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
1	291U00000X	Clinical Medical Laboratory	23D2046929	MI

General Provider Information

NPI Number	:	1578995940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOHAMMED A ARMAN MD, PC

Provider Business Mailing Address
First Line	:	17000 EXECUTIVE PLAZA DR
Second Line	:	SUITE 202
City	:	DEARBORN
State	:	MI
Zip	:	48126-2610
Country	:	US
Telephone Number	:	313-583-3871
Fax Number	:	313-583-3872

Provider Business Practice Location Address
First Line	:	17000 EXECUTIVE PLAZA DR
Second Line	:	SUITE 202
City	:	DEARBORN
State	:	MI
Zip	:	48126-2610
Country	:	US
Telephone Number	:	313-583-3871
Fax Number	:	313-583-3872

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MOHAMMED A.H. ARMAN
Credential	:	MD
Telephone Number	:	313-300-6320

Provider Enumeration Date	:	08/07/2013
Last Update Date	:	03/02/2014

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