Provider Demographics
NPI:1548911696
Name:ALI-BAQIR, RANA MUHAMMAD
Entity type:Individual
Prefix:
First Name:RANA
Middle Name:MUHAMMAD
Last Name:ALI-BAQIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43978 STONEY LN
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-2270
Mailing Address - Country:US
Mailing Address - Phone:586-303-5374
Mailing Address - Fax:
Practice Address - Street 1:31806 GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-4124
Practice Address - Country:US
Practice Address - Phone:586-303-5374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI376J00000X376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI87-4099760OtherIRS