RAZAN MOHANNA
NPI 1093509747
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 08, 2025PECOS Enrolled
6071 W OUTER DR, DETROIT, MI 48235(313) 966-3300 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Razan Mohanna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAZAN MOHANNA (NPI 1093509747) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093509747
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRAZAN MOHANNA
Location Address6071 W OUTER DRDetroit, MI 48235-2624
Mailing Address6071 W Outer DrDetroit, MI 48235-2624
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 7, 2025
NPI 1093509747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6071 W OUTER DR, Detroit, MI 48235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Razan Mohanna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
6071 W OUTER DR
DETROIT, MI 48235
Internal Medicine
6071 W OUTER DR
DETROIT, MI 48235
Psychiatry & Neurology (Neurocritical Care)
6071 W OUTER DR
DETROIT, MI 48235
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Nurse Anesthetist, Certified Registered
6071 W OUTER DR
DETROIT, MI 48235
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Razan Mohanna's NPI number?

The NPI number for Razan Mohanna is 1093509747. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Razan Mohanna located?

Razan Mohanna practices at 6071 W Outer Dr, Detroit, MI 48235. The listed phone number is (313) 966-3300.

What is Razan Mohanna's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Razan Mohanna enrolled in Medicare?

Yes. Razan Mohanna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Razan Mohanna was last updated on April 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.