Individual
DR. HADI ALFRED PIRAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20331 FARMINGTON RD, LIVONIA, MI 48152-1411
(248) 478-1100
(248) 478-7054
Mailing address
20331 FARMINGTON RD, LIVONIA, MI 48152-1411
(248) 478-1100
(248) 478-7054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HP032895
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H24860
BLUE CROSS BLUE SHIELD
ID
01
—
383344395
TAX ID
MI
01
—
HP032895
STATE LICENSE
ID
Enumeration date
08/28/2006
Last updated
12/05/2011
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