Individual
DR. MOHAMMAD AL-HARASTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301067273
MI
2080A0000X
Pediatric Adolescent Medicine Physician
4301067273
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026494
HEALTH ADVANTAGE NETWORK
MI
05
—
1619968922
—
MI
01
—
305-044-1237-1
BLUE CARE NETWORK
MI
01
—
35-0-44-1237-1
BCBS
MI
01
—
350D410030
BLUE CARE NETWORK
MI
01
—
370011198
METRAHEALTH
MI
01
—
41A87114
HEALTH PLUS
MI
01
—
5243111
AETNA
MI
01
—
526
PPOM
MI
01
—
8572330001
CIGNA
MI
01
—
C3769
MCARE
MI
01
—
F76263
HEALTH ALLIANCE PLAN
MI
01
—
P48210001
MEDICARE PTAN
—
Enumeration date
11/04/2005
Last updated
02/05/2014
Update your record
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