Organization
LAPEER PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD AL HARASTANI M.D. (PRESIDENT)
(810) 245-9700
Entity
Organization
Contact information
Practice address
1083 SUNCREST DR, SUITE-A, LAPEER, MI 48446-4421
(810) 245-9700
(810) 245-9703
Mailing address
1083 SUNCREST DR STE A, LAPEER, MI 48446-4421
(810) 245-9700
(810) 245-9703
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301067273
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P48210
MEDICARE PTAN NUMBER
—
01
—
1026494
MCLAREN HEALTH PLAN
MI
05
—
1619968922
—
MI
01
—
35-0-44-1237-1
BCBS
MI
01
—
350D410030
BLUE CARE NETWORK
MI
01
—
41A87114
HEALTH PLUS
MI
01
—
5243111
AETNA
MI
01
—
526
PPOM
MI
01
—
8572330001
CIGNA
MI
01
—
F76263
HEALTH ALLIANCE PLAN
MI
Enumeration date
08/05/2007
Last updated
09/11/2025
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