Individual
IRFAN MAMOUN
Active
Individual
IRFAN MAMOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301038517
MI
2085R0202X
Diagnostic Radiology Physician
ME141698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301038517
MEDICAL LICENSE
MI
Enumeration date
12/04/2008
Last updated
04/12/2023
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