Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301080828 | MI |
N | 208600000X | Surgeon | 4301080828 | MI |
Y | 2086S0105X | Surgery of the Hand | 4301080828 | MI |
N | 2086S0122X | Plastic and Reconstructive Surgery | 4301080828 | MI |
NPI | 1952408932 |
---|---|
Provider Name | Dr. Abdalmajid Katranji |
First Address | East Lansing, MI 48823-6916 |
Second Address | East Lansing, MI 48823-6916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 25/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020C317390 | BCBS PIN (01) | |
I27348 | (02) |