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NPI Code Detail

MEDICARE: DR. TED ROBERT NAMAN MD

MEDICARE: DR. TED ROBERT NAMAN MD
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
1208000000XPediatrics Physician4301068485MI
2207R00000XInternal Medicine Physician4301068485MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11106337422OTHERMIBCBS IND
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31106337422OTHERMIBCN IND

General Provider Information

NPI Number : 1730156050
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TED ROBERT NAMAN MD
Provider Business Mailing Address
First Line : 911 E 9 MILE RD
Second Line :
City : FERNDALE
State : MI
Zip : 48220-1934
Country : US
Telephone Number : 248-336-4000
Fax Number : 248-336-9137
Provider Business Practice Location Address
First Line : 911 E 9 MILE RD
Second Line :
City : FERNDALE
State : MI
Zip : 48220-1934
Country : US
Telephone Number : 248-336-4000
Fax Number : 248-336-9137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2006
Last Update Date : 10/31/2019

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