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Individual

DR. MANHAL NAOUMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
31500 DEQUINDRE RD, WARREN, MI 48092-1057
(586) 939-9500
(586) 939-9501
Mailing address
31500 DEQUINDRE RD, WARREN, MI 48092-1057
(586) 939-9500
(586) 939-9501

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MN079004
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0808261442
BCBS
MI
01
141710
CARE CHOICES
MI
01
150795
GREAT LAKES HEALTH PLAN
MI
01
271421112
TAX ID
MI
05
4735933
MI
01
I31814
HAP
MI
Enumeration date
03/16/2006
Last updated
10/22/2015
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