Tehrani, Morad M

Tehrani, Morad M is an individual health care provider with primary practice located at 200 N Madison St , Marshall MI 49068-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tehrani, Morad M can be contacted via phone (269) 781-4271.

Contact Information

Primary practice address
200 N Madison St Marshall MI 49068-1143
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301066750 Michigan

Profile Details

NPI number 1396700639
LBN Legal business name Tehrani, Morad M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396700639 NPPES
Michigan Other 0501310981 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4105940 BLUE CROSS BLUE SHIELD

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