Individual
MANAL PERACHA-RIYAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 N MONROE ST, MONROE, MI 48162-2936
(734) 242-2727
(734) 242-2745
Mailing address
725 N MONROE ST, MONROE, MI 48162-2936
(734) 242-2727
(734) 242-2745
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301103242
MI
207W00000X
Ophthalmology Physician
D0086473
MD
207W00000X
Ophthalmology Physician
MD046531
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14033965
CAQH
—
Enumeration date
04/01/2013
Last updated
08/12/2021
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