Organization
MOHAMMAD GHAFFARLOO M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD GHAFFARLOO M.D. (PRESIDENT)
(586) 286-8677
Entity
Organization
Contact information
Practice address
15945 19 MILE RD, SUITE 100, CLINTON TOWNSHIP, MI 48038-1147
(586) 286-8677
(586) 286-8781
Mailing address
15945 19 MILE RD, SUITE 100, CLINTON TOWNSHIP, MI 48038-1147
(586) 286-8677
(586) 286-8781
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301056996
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43391 COMMONS CLINTO
PREVIOUS ADDRESS
MI
Enumeration date
09/20/2006
Last updated
08/22/2020
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