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Individual

DR. BEINAZ MENAGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13191 SCHAVEY RD, SUITE 3, DEWITT, MI 48820-9036
(517) 669-9109
(517) 669-9839
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6204

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4310062502
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0801900242
BCBS INDIVIDUAL PIN
MI
01
200000002386
PHP PIN #
MI
05
3269519
MI
Enumeration date
09/29/2006
Last updated
12/31/2007
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