Provider Demographics
NPI:1598954802
Name:AKRAM M. FRAM, M.D, P.C.
Entity Type:Organization
Organization Name:AKRAM M. FRAM, M.D, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKRAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-664-8822
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAF049186173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1913503Medicaid
MI0P28590Medicare PIN
MI1913503Medicaid