Organization
MOHAMMAD GHAEMI, M. D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD GHAEMI M.D. (M.D. OWNER)
(248) 528-3720
Entity
Organization
Contact information
Practice address
4792 ROCHESTER RD, SUITE B, TROY, MI 48085-4989
(248) 528-3720
(248) 528-3721
Mailing address
4792 ROCHESTER RD, SUITE B, TROY, MI 48085-4989
(248) 528-3720
(248) 528-3721
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MG031276
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121856
—
MI
Enumeration date
12/16/2013
Last updated
12/16/2013
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