Manshady, Badiollah Movaffaghy

Manshady, Badiollah Movaffaghy is an individual health care provider with primary practice located at 18633 Mack Ave , Detroit MI 48236. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Manshady, Badiollah Movaffaghy can be contacted via phone (313) 886-5755.

Contact Information

Primary practice address
18633 Mack Ave Detroit MI 48236
Phone: (313) 886-5755
Fax: (313) 886-3609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X BM033580 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X BM033580 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BM033580 Michigan

Profile Details

NPI number 1790703536
LBN Legal business name Manshady, Badiollah Movaffaghy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 9th, 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 1790703536 NPPES
Michigan MEDICAID 1393074
Michigan Other 1108204451

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