Provider Demographics
NPI:1043304116
Name:ARMAN, MOHAMMED A (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:A
Last Name:ARMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2145
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48037-2145
Mailing Address - Country:US
Mailing Address - Phone:313-724-9170
Mailing Address - Fax:313-724-9175
Practice Address - Street 1:17000 EXECUTIVE PLAZA DR STE 202
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2793
Practice Address - Country:US
Practice Address - Phone:313-724-9170
Practice Address - Fax:313-724-9175
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301058435207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI100013899OtherRAILROAD MEDICARE
MI38-3479828OtherOMNICARE COVENTRY
MIF70667OtherHEALTH ALLIANCE PLAN
MI00000001662AOtherCAPE HEALTH PLAN
MI126305OtherCARE CHOICES
MI4112220Medicaid
MI4967361-002OtherCIGNA
MI006110OtherMIDWEST HEALTH PLAN
MI1108280691OtherBLUE SHIELD
MIC6787OtherMCARE
MI100129OtherGREAT LAKES HEALTH PLAN
MI100129OtherGREAT LAKES HEALTH PLAN