Provider Demographics
NPI:1508932914
Name:FRAM, AKRAM M (MD)
Entity Type:Individual
Prefix:
First Name:AKRAM
Middle Name:M
Last Name:FRAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-0038
Mailing Address - Country:US
Mailing Address - Phone:810-664-8822
Mailing Address - Fax:
Practice Address - Street 1:237 DAVIS LAKE RD
Practice Address - Street 2:SUITE A
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-1485
Practice Address - Country:US
Practice Address - Phone:810-664-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAF049186173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1913503Medicaid
MI0P28590Medicare PIN
MIA73681Medicare UPIN