Olan Jareunpoon, M.D., P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

208600000X Issued in MI

Legal business name

OLAN JAREUNPOON, M.D., P.C.

Practice address

9740 Conant St
Hamtramck, MI 48212-3307

Phone

(313) 556-9900

Fax

(313) 556-9911

NPI assigned

Jun 6, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olan Jareunpoon, M.D.

Title

President

Phone

(248) 879-5799

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1285954834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 RED MAPLE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982248",
            "telephone_number": "248-879-5779",
            "fax_number": "248-879-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123307",
            "telephone_number": "313-556-9900",
            "fax_number": "313-556-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLAN JAREUNPOON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-06",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "JAREUNPOON",
        "authorized_official_first_name": "OLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-879-5799",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "208600000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1420298 TYPE 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.