MEDICARE: BAHAREH MORADI DDS, MS

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	1223P0700X	Prosthodontics	2901601114	MI

General Provider Information

NPI Number	:	1942979067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAHAREH MORADI DDS, MS

Provider Business Mailing Address
First Line	:	174 LANGE DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48098-4667
Country	:	US
Telephone Number	:	760-297-8029
Fax Number	:

Provider Business Practice Location Address
First Line	:	4819 HAGGERTY RD
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-3901
Country	:	US
Telephone Number	:	248-863-9109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2021
Last Update Date	:	09/11/2021

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1144254905 — KROGER CO OF MICHIGAN
Practice Location Address:

4805 HAGGERTY RD
WEST BLOOMFIELD, MI
48323-3901

Practice Phone: 248-960-7535
Practice Fax: 248-960-7529

1255499182 — DR. HARRIS GURFINKEL DDS
Practice Location Address:

4819 HAGGERTY RD
WEST BLOOMFIELD, MI
48323-3901

Practice Phone: 248-624-0200
Practice Fax: 248-624-0201

1801151303 — MANAL ISMAIL
Practice Location Address:

4819 HAGGERTY RD
WEST BLOOMFIELD, MI
48323-3901

Practice Phone: 248-863-9109
Practice Fax:

1982363677 — ROYAL DENTAL CENTER PLLC
Practice Location Address:

4819 HAGGERTY RD
WEST BLOOMFIELD, MI
48323-3901

Practice Phone: 248-863-9109
Practice Fax:

1356347413 — TAMPA FAMILY HEALTH CENTERS INC
Practice Location Address:

3901 S WEST SHORE BLVD
TAMPA, FL
33611-1003

Practice Phone: 813-866-0930
Practice Fax: 813-866-0929

Directions to “ BAHAREH MORADI DDS, MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.