Provider Demographics
NPI:1124415161
Name:ARJA MD PC
Entity Type:Organization
Organization Name:ARJA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ARJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-305-0061
Mailing Address - Street 1:PO BOX 21411
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4111
Mailing Address - Country:US
Mailing Address - Phone:810-305-0061
Mailing Address - Fax:810-305-3319
Practice Address - Street 1:1739 N SAGINAW ST STE 104A
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-7627
Practice Address - Country:US
Practice Address - Phone:810-305-0061
Practice Address - Fax:810-305-3319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1548299464OtherHMO
MI1548299464Medicaid