Badiollah Movaffaghy Manshady in Detroit - Rheumatology

Badiollah Movaffaghy Manshady - NPI 1790703536

Badiollah Movaffaghy Manshady is a Rheumatology in Detroit, Michigan. Badiollah Movaffaghy Manshady practices all healthcare services and medical treatments related to Rheumatology. The NPI Number for Badiollah Movaffaghy Manshady is 1790703536. The last update date is 2007-07-09.

Badiollah Movaffaghy Manshady's current location address is 18633 Mack Ave, Detroit, Michigan. You can contact this provider via phone number 3138865755 and fax number 3138863609. The mailing address for Badiollah Movaffaghy Manshady is 18633 Mack Ave, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Badiollah Movaffaghy Manshady
Address 18633 Mack Ave, Detroit, Michigan
Phone Number 3138865755
Fax Number 3138863609
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790703536
Provider Enumeration Date 2006-07-18
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 18633 Mack Ave
City Detroit
State Michigan (MI)
Post Code 48236
Phone Number 3138865755
Fax Number 3138863609

Provider's Primary Taxonomy Detail

Speciality Rheumatology
Taxonomy 207Rr0500X
Licence No BM033580
Definition:
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1393074 MI --
1108204451 MI BLUE SHIELD

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FAQs about Badiollah Movaffaghy Manshady

What is the Badiollah Movaffaghy Manshady's 1790703536?

The Badiollah Movaffaghy Manshady's NPI (National Provider Identifier) Number is 1790703536. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Badiollah Movaffaghy Manshady's facilities are situated?

The facilities of Badiollah Movaffaghy Manshady are physically located at the following address: 18633 Mack Ave, Detroit, MI, 48236.

What is Badiollah Movaffaghy Manshady's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Badiollah Movaffaghy Manshady is Rheumatology, and the taxonomy code that classifies this field of practice is 207Rr0500X.

On what date did the Badiollah Movaffaghy Manshady receive its 1790703536 assignment from the Centers for Medicare & Medicaid Services?

The Badiollah Movaffaghy Manshady was assigned its 1790703536 by the Centers for Medicare & Medicaid Services on 2006-07-18.

As of what date were the details pertaining to Badiollah Movaffaghy Manshady last refreshed?

The information related to the Badiollah Movaffaghy Manshady, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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