Provider Demographics
NPI:1437339207
Name:A. KATRANJI M.D., P.C.
Entity Type:Organization
Organization Name:A. KATRANJI M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:K
Authorized Official - Last Name:TURCZYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-250-7325
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:734-250-7325
Mailing Address - Fax:734-225-6794
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:734-250-7325
Practice Address - Fax:734-225-6794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301037674207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP30170001Medicare PIN
MI0P30170Medicare PIN