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DR. MARYAM IMRAN MBBS
NPI 1619812906
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 22, 2026PECOS Enrolled
4201 SAINT ANTOINE ST STE 9C, DETROIT, MI 48201(313) 745-5146 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maryam Imran Mbbs NPPES

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

DR. MARYAM IMRAN MBBS (NPI 1619812906) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619812906
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARYAM IMRANCredential: MBBS
Location Address4201 SAINT ANTOINE ST STE 9CDetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St Ste 9cDetroit, MI 48201-2153
Phone(313) 745-5146
Sole ProprietorNo
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1619812906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
4201 SAINT ANTOINE ST STE 9C, Detroit, MI 48201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maryam Imran Mbbs 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 16

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

SIKANDER CHOHAN MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-5147
ALEX LYNCH DO
Surgery
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 577-5009
FRAOL TESFAYE EREGA MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-7888
RACHEL LORRAINE KONCHAL MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-5147
PETER MORKOS
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-4627
TAIM-ALLAH AL-JARRAH MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
ABUBAKR ZIAULLAH M.D.
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-5147
HAYTHAM A M DWAIK
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-3000

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 Maryam Imran's NPI number?

The NPI number for Maryam Imran is 1619812906. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Maryam Imran located?

Maryam Imran practices at 4201 Saint Antoine St Ste 9C, Detroit, MI 48201. The listed phone number is (313) 745-5146.

What is Maryam Imran's specialty?

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

Is Maryam Imran enrolled in Medicare?

Yes. Maryam Imran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryam Imran was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.