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NPI Code Detail

MEDICARE: AHMAD ZIA KHORRAMI D.C.

MEDICARE: AHMAD ZIA KHORRAMI D.C.
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
1111N00000XChiropractor2301008023MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
200882OTHERMIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31598843542OTHERMINPI NUMBER

General Provider Information

NPI Number : 1598843542
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMAD ZIA KHORRAMI D.C.
Provider Business Mailing Address
First Line : 222 N MILL ST
Second Line :
City : SAINT LOUIS
State : MI
Zip : 48880-1523
Country : US
Telephone Number : 989-681-4107
Fax Number : 989-681-3628
Provider Business Practice Location Address
First Line : 222 N MILL ST
Second Line :
City : SAINT LOUIS
State : MI
Zip : 48880-1523
Country : US
Telephone Number : 989-681-4107
Fax Number : 989-681-3628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/11/2007

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