Banooni, Firooz

Banooni, Firooz is an individual health care provider with primary practice located at 3535 W 13 Mile Rd Suite 301, Royal Oak MI 48073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Banooni, Firooz can be contacted via phone (248) 288-2230.

Contact Information

Primary practice address
3535 W 13 Mile Rd Suite 301 Royal Oak MI 48073
Phone: (248) 288-2230
Fax: (248) 288-5450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X FB032283 Michigan

Profile Details

NPI number 1417907056
LBN Legal business name Banooni, Firooz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417907056 NPPES
Michigan Other 100209 GREAT LAKES HEALTH PLAN
Michigan Other 212791 GREAT LAKES HEALTH PLAN
Michigan Other B2900 GREAT LAKES HEALTH PLAN
Michigan Other B45518 GREAT LAKES HEALTH PLAN
Michigan Other 127194 GREAT LAKES HEALTH PLAN
Michigan MEDICAID 4120590 GREAT LAKES HEALTH PLAN
Michigan Other 0630040 GREAT LAKES HEALTH PLAN
Michigan Other 0630040 GREAT LAKES HEALTH PLAN
Michigan Other 1223060008 GREAT LAKES HEALTH PLAN

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