Individual provider · NPI-1

Dr. Niloofar Anooshiravani, MD

Dermatology · Dearborn, MI

NPI number1053729129
StatusActive
Last updated in NPPESJul 12, 2023

Details

NPI
1053729129
Entity type
Individual (NPI-1)
Name
Dr. Niloofar Anooshiravani
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2014
Certification date
Jul 12, 2023
Last updated
Jul 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology5315239159MIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

18100 Oakwood Blvd
Dearborn, MI 48124-4085

Phone 313-240-4900

Mailing address

18100 Oakwood Blvd Ste 300
Dearborn, MI 48124-4085

Phone 313-240-4900

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