Al-Harastani, Mohammad
Al-Harastani, Mohammad is an sole proprietor health care provider with primary practice located at 1083 Suncrest Dr Suite-A, Lapeer MI 48446-4421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Al-Harastani, Mohammad can be contacted via phone (810) 245-9700.Contact Information
Primary practice address
1083 Suncrest Dr Suite-A
Lapeer MI 48446-4421
Phone: (810) 245-9700
Fax: (810) 245-9703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301067273 | Michigan |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 4301067273 | Michigan |
Profile Details
| NPI number | 1619968922 |
|---|---|
| LBN Legal business name | Al-Harastani, Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Feb 5th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619968922 | NPPES |
| Michigan | Other | 1026494 | HEALTH ADVANTAGE NETWORK |
| Michigan | MEDICAID | 1619968922 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | 350D410030 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | C3769 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | 41A87114 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | F76263 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | P48210001 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | 5243111 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | 526 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | 370011198 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | 8572330001 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | 1026494 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | 305-044-1237-1 | HEALTH ADVANTAGE NETWORK |
| Michigan | Other | 35-0-44-1237-1 | HEALTH ADVANTAGE NETWORK |
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