Mirkazemi, Mehran
Mirkazemi, Mehran is an sole proprietor health care provider with primary practice located at 22190 Garrison St S301, Dearborn MI 48124-2260. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Other Service Providers / Specialist is his primary health care specialty. Mirkazemi, Mehran can be contacted via phone (313) 561-2622.Contact Information
Primary practice address
22190 Garrison St S301
Dearborn MI 48124-2260
Phone: (313) 561-2622
Fax: (313) 561-2774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5101013208 | Michigan |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101013208 | Michigan |
Profile Details
| NPI number | 1811967268 |
|---|---|
| LBN Legal business name | Mirkazemi, Mehran |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Nov 22nd, 2023 - about last year |
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 | 1811967268 | NPPES |
| Michigan | MEDICAID | 4406640 |
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