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Individual

MOHAMMAD IRFAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30901 PALMER RD, WESTLAND, MI 48186-9529
(734) 367-8403
(734) 722-9524
Mailing address
3120 BIRCHWOOD DR, ANN ARBOR, MI 48105-9266
(734) 930-9663

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301069586
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1508883299
WRPH
MI
01
260Q26259
BCBSM GR#
MI
05
4867360
MI
01
MI069586
LICENSE
MI
Enumeration date
07/20/2006
Last updated
07/09/2007
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