Provider Demographics
NPI:1861440562
Name:SEID-ARABI, MANAF (MD)
Entity Type:Individual
Prefix:DR
First Name:MANAF
Middle Name:
Last Name:SEID-ARABI
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 1:15945 19 MILE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1147
Mailing Address - Country:US
Mailing Address - Phone:586-263-0610
Mailing Address - Fax:586-263-0834
Practice Address - Street 1:15945 19 MILE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1147
Practice Address - Country:US
Practice Address - Phone:586-263-0610
Practice Address - Fax:586-263-0834
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010392072084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIA74641OtherHEALTH ALLIANCE PLAN
MI102892OtherGREAT LAKES HEALTH PLAN
MI2102467Medicaid
MIC3830OtherMCARE
MI92NC78296OtherWORKERS COMPENSATION
MI130E018270OtherBLUE CROSS BLUE SHIELD
MI18080020OtherCIGNA
MI92NC78296OtherWORKERS COMPENSATION
MI18080020OtherCIGNA