Mamoun, Irfan

Mamoun, Irfan is an sole proprietor health care provider with primary practice located at 36175 Harper Ave , Clinton Township MI 48035-3274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mamoun, Irfan can be contacted via phone (586) 741-3772.

Contact Information

Primary practice address
36175 Harper Ave Clinton Township MI 48035-3274
Phone: (586) 741-3772
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME141698 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301038517 Michigan

Profile Details

NPI number 1861637811
LBN Legal business name Mamoun, Irfan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2008
Last updated Apr 12th, 2023 - about 3 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 1861637811 NPPES
Michigan Other 4301038517 MEDICAL LICENSE

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