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MARJAN MOGHADDAM D.O NPI 1457615247


NPI Information

NPI: 1457615247
Provider Name: MARJAN MOGHADDAM, D.O
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: HENRY FORD MEDICAL GROUP

PECOS Registration: Yes

Address:
3370 E JEFFERSON AVE
DETROIT, MI
ZIP 48207
Phone: (800) 659-6568
Get Directions

Marjan Moghaddam, D.O is a family medicine in Detroit, MI with 12 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Marjan Moghaddam, D.O NPI is 1457615247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2012

The provider's business location address is:

3370 E JEFFERSON AVE
DETROIT, MI
ZIP 48207-236
Phone: (800) 659-6568
Fax: (313) 656-1610

The NPI 1457615247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2012 and was last updated on 3/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine5101019748MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.