NPI 1619968922 · live from the CMS NPI Registry
Mohammad Al-Harastani, MD
Pediatrics in Lapeer, MI. National Provider Identifier 1619968922, active.
NPI record
| NPI | 1619968922 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 1083 Suncrest Dr, Suite-A, Lapeer, MI 48446 |
| Practice phone | 810-245-9700 |
| Enumerated | November 4, 2005 |
| Last updated | February 5, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics primary | 208000000X | 4301067273 (MI) |
| Pediatrics, Adolescent Medicine | 2080A0000X | 4301067273 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.