Individual
TARANA MARIE MOHAMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5839 W MAPLE RD STE 109, WEST BLOOMFIELD, MI 48322-2278
(248) 855-7500
(248) 855-5627
Mailing address
5839 W MAPLE RD STE 109, WEST BLOOMFIELD, MI 48322-2278
(248) 855-7500
(248) 855-5627
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301103613
MI
Other
Enumeration date
06/25/2013
Last updated
04/29/2021
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