1518283498 NPI number — MAJED RAMMOUNI MD, PC

Table of content: (NPI 1518283498)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518283498 NPI number — MAJED RAMMOUNI MD, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAJED RAMMOUNI MD, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518283498
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23600 HARPER AVE
Provider Second Line Business Mailing Address:
STE. 103
Provider Business Mailing Address City Name:
SAINT CLAIR SHORES
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48080-1445
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-585-2570
Provider Business Mailing Address Fax Number:
586-585-2574

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23600 HARPER AVE
Provider Second Line Business Practice Location Address:
STE. 103
Provider Business Practice Location Address City Name:
SAINT CLAIR SHORES
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48080-1445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-585-2570
Provider Business Practice Location Address Fax Number:
586-585-2574
Provider Enumeration Date:
04/16/2010

Additional Information

Authorized Official

Authorized Official Last Name:
RAMMOUNI
Authorized Official First Name:
MAJED
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
586-585-2570

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G97751 . This is a "HAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 124095 . This is a "CARE CHOICES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4488242 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110500181-1 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00020733 . This is a "MEDICARE RR" identifier . This identifiers is of the category "OTHER".
  • Identifier: P104241 . This is a "BCN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7819328 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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