Provider Demographics
NPI:1356499800
Name:AFRAM, GEORGE S (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:S
Last Name:AFRAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:29275 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1248
Mailing Address - Country:US
Mailing Address - Phone:586-779-6630
Mailing Address - Fax:586-779-6645
Practice Address - Street 1:29275 HARPER AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1248
Practice Address - Country:US
Practice Address - Phone:586-779-6630
Practice Address - Fax:586-779-6645
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI067969207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4249403Medicaid
MIN16810001Medicare PIN
MIH03862Medicare UPIN