Provider Demographics
NPI:1790716157
Name:FRIEDMAN, HOWARD PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:PHILIP
Last Name:FRIEDMAN
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 1:380 N. OLD WOODWARD AVE.
Mailing Address - Street 2:SUITE 156
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-5307
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:48009-5307
Practice Address - Country:US
Practice Address - Phone:248-644-2232
Practice Address - Fax:248-851-2855
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010276492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1404122Medicaid
B44081Medicare ID - Type Unspecified
MIB44081Medicare UPIN