Individual
DR. MORAD M TEHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301066750
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0501310981
BLUE CROSS BLUE SHIELD
MI
05
—
4105940
—
MI
Enumeration date
04/19/2006
Last updated
02/07/2025
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