Provider Demographics
NPI:1043512270
Name:EYE SURGEONS ASSOCIATES P.C.
Entity Type:Organization
Organization Name:EYE SURGEONS ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDALRAHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KATRANJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-292-0730
Mailing Address - Street 1:PO BOX 1274
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-5674
Mailing Address - Country:US
Mailing Address - Phone:313-292-0730
Mailing Address - Fax:313-292-1626
Practice Address - Street 1:23611 GODDARD RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4046
Practice Address - Country:US
Practice Address - Phone:313-292-0730
Practice Address - Fax:313-292-1626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301037674207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty