Dr Mohammad Al-harastani, MD | |
1083 Suncrest Dr, Suite-a, Lapeer, MI 48446-4421 | |
(810) 245-9700 | |
(810) 245-9703 |
Full Name | Dr Mohammad Al-harastani |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1083 Suncrest Dr, Lapeer, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619968922 | NPI | - | NPPES |
1026494 | Other | MI | HEALTH ADVANTAGE NETWORK |
1619968922 | Medicaid | MI | |
350D410030 | Other | MI | BLUE CARE NETWORK |
C3769 | Other | MI | MCARE |
41A87114 | Other | MI | HEALTH PLUS |
F76263 | Other | MI | HEALTH ALLIANCE PLAN |
P48210001 | Other | MEDICARE PTAN | |
5243111 | Other | MI | AETNA |
526 | Other | MI | PPOM |
370011198 | Other | MI | METRAHEALTH |
8572330001 | Other | MI | CIGNA |
1026494 | Other | MI | MCLAREN HEALTH PLAN |
305-044-1237-1 | Other | MI | BLUE CARE NETWORK |
35-0-44-1237-1 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301067273 (Michigan) | Primary |
2080A0000X | Pediatrics - Adolescent Medicine | 4301067273 (Michigan) | Secondary |
Entity Name | Lapeer Pediatrics Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265623276 PECOS PAC ID: 8729168877 Enrollment ID: O20080102000586 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohammad Al-harastani, MD 1083 Suncrest Dr, Suite-a, Lapeer, MI 48446-4421 Ph: (810) 245-9700 | Dr Mohammad Al-harastani, MD 1083 Suncrest Dr, Suite-a, Lapeer, MI 48446-4421 Ph: (810) 245-9700 |
Dr. Paul D Lepor, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1254 N Main St, Lapeer, MI 48446 Phone: 810-664-4531 Fax: 810-667-7337 | |
Dr. Mark A Braniecki, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 944 Baldwin Rd, Suite A, Lapeer, MI 48446 Phone: 810-245-5562 Fax: 810-245-7838 | |
Sami Al-harastani, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1083 Suncrest Dr Ste A, Lapeer, MI 48446 Phone: 810-245-9700 | |
Sydney Ann Howard, PA-C Pediatrics Medicare: Medicare Enrolled Practice Location: 1083 Suncrest Dr, Lapeer, MI 48446 Phone: 810-221-1813 | |
Dr. Keith Dharamraj, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1254 N Main St, Lapeer, MI 48446 Phone: 810-664-4531 Fax: 810-667-7337 |