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NPI Code Detail

MEDICARE: MANAL PERACHA-RIYAZ M.D.

MEDICARE: MANAL PERACHA-RIYAZ 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
1207W00000XOphthalmology PhysicianD0086473MD
2207W00000XOphthalmology PhysicianMD046531DC
3207W00000XOphthalmology Physician4301103242MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114033965OTHERCAQH

General Provider Information

NPI Number : 1588907299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANAL PERACHA-RIYAZ 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 : 04/01/2013
Last Update Date : 08/12/2021

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1790075620 — ZUHAIR H PERACHA M.D.
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Directions to “ MANAL PERACHA-RIYAZ M.D.” Practice Location

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