DR. KAMRAN STEVEN MOGHISSI (NPI# 1710098256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710098256 |
| Entity Type | Individual |
| Full Name | DR. KAMRAN STEVEN MOGHISSI |
| Credential | M.D. |
| Practice Address |
3750 Woodward Ave Ste 200 D Detroit MI 48201-2007 |
| Practice Telephone | 3139934538 |
| Practice Fax Number | 3139934537 |
| Mailing Telephone | 3139934538 |
| Mailing Fax Number | 3139934537 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
4301026287 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3459890 | 05 |
| Street Address |
3750 WOODWARD AVE STE 200 D |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013984236 | David Bryant Jr. | Obstetrics & Gynecology | 3750 Woodward Ave, Suite 200c, Detroit, MI 48201-2007 | 2006-03-07 |
| 1427411859 | Lisa Marie Laberge | Student in an Organized Health Care Education/Training Program | 3750 Woodward Ave, Suite 200 A, Detroit, MI 48201-2007 | 2016-04-02 |
| 1700155272 | Lynette Patrice Carroll | Advanced Practice Midwife | 3750 Woodward Ave, Suite 200c, Detroit, MI 48201-2007 | 2011-12-29 |
| 1205144540 | Angela Chiodo | Advanced Practice Midwife | 3750 Woodward Ave, Suite 200c, Detroit, MI 48201-2007 | 2010-09-21 |
| 1255645487 | Jimmy Belotte | Obstetrics & Gynecology | 3750 Woodward Ave, Ste 200c, Detroit, MI 48201-2007 | 2010-07-29 |
| 1699921775 | Deslyn Theola Gloria Hobson | Obstetrics & Gynecology | 3750 Woodward Ave, Suite 200c, Detroit, MI 48201-2007 | 2008-08-08 |
| 1821259664 | Brian Mcclatchey | Social Worker | 3750 Woodward Ave, Detroit, MI 48201-2007 | 2008-06-24 |
| 1376704759 | Neil Simmerman | Obstetrics & Gynecology | 3750 Woodward Ave, Ste 200c, Detroit, MI 48201-2007 | 2008-06-19 |
| 1841495249 | Mordechai Hallak | Obstetrics & Gynecology | 3750 Woodward Ave, Ste 200c, Detroit, MI 48201-2007 | 2007-06-18 |
| 1174730444 | Eline Haenebalcke Wilson | Obstetrics & Gynecology | 3750 Woodward Ave, Ste 200c, Detroit, MI 48201-2007 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659310613 | Womens Care of Detroit Pllc 2 | Obstetrics & Gynecology | 3750 Woodward Ave, Ste 200 B, Detroit, MI 48201-2007 | 2006-06-05 |
| 1255326013 | Minuchehr Kashef | Obstetrics & Gynecology | 22151 Moross Rd, 313, Detroit, MI 48236-2167 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023282647 | Edwin Peter Peterson | Obstetrics & Gynecology | 375 W Northfield Church Rd, Ann Arbor, MI 48105 | 2008-04-15 |
| 1801081625 | Advanced Reproductive Medicine & Surgery, PC | Obstetrics & Gynecology | 4190 Telegraph Rd, Suite 1500, Bloomfield Hills, MI 48302-2079 | 2007-09-14 |
| 1053472027 | Carole L Kowalczyk | Obstetrics & Gynecology | 4700 E. 13 Mile Road, Suite 200, Warren, MI 48092 | 2006-12-13 |
| 1861571150 | Fereshteh Fahimi | Obstetrics & Gynecology | Spb 1200 E Michigan Ave, Suite 305, Lansing, MI 48912 | 2006-11-06 |
| 1851324610 | Grand Rapids Fertility & Ivf, PC | Obstetrics & Gynecology | 555 Mid Towne St Ne, Ste 300, Grand Rapids, MI 49503-2515 | 2006-07-07 |
| 1902867625 | Manvinder Singh | Obstetrics & Gynecology | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2006-03-31 |
| 1740240654 | Alexander Maximovich | Obstetrics & Gynecology | 4190 Telegraph Road, Suite 1500, Bloomfield Hills, MI 48302 | 2006-03-24 |
| 1831159078 | Bradley Todd Miller | Obstetrics & Gynecology | 130 Town Center Dr, Suite 106, Troy, MI 48084-1744 | 2006-03-23 |
| 1013994425 | Maria F Hayes | Obstetrics & Gynecology | 18181 Oakwood Blvd, Ste 109, Dearborn, MI 48124 | 2005-12-28 |
| 1407838535 | Asghar Afsari | Obstetrics & Gynecology | 7419 Middlebelt Rd, Suite 1, West Bloomfield, MI 48322-4182 | 2005-11-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KAMRAN STEVEN MOGHISSI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.