Provider Demographics
NPI:1760743587
Name:HOWARD P. FRIEDMAN MD PC
Entity Type:Organization
Organization Name:HOWARD P. FRIEDMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-644-2232
Mailing Address - Street 1:380 N. OLD WOODWARD AVE.
Mailing Address - Street 2:SUITE 156
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009
Mailing Address - Country:US
Mailing Address - Phone:248-644-2232
Mailing Address - Fax:248-851-2855
Practice Address - Street 1:380 N. OLD WOODWARD AVE.
Practice Address - Street 2:SUITE 156
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009
Practice Address - Country:US
Practice Address - Phone:248-644-2232
Practice Address - Fax:248-851-2855
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOWARD P. FRIEDMAN MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301-0276492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1404122Medicaid
MI1404122Medicaid