Individual provider · NPI-1
Shayan Assaie-Ardakany
Surgery · Southfield, MI
NPI number1376394940
StatusActive
Last updated in NPPESApr 19, 2024
Details
- NPI
- 1376394940
- Entity type
- Individual (NPI-1)
- Name
- Shayan Assaie-Ardakany
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2024
- Certification date
- Apr 19, 2024
- Last updated
- Apr 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 4351052795 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
22250 Providence DrSouthfield, MI 48075-4825
Phone 248-849-5862 · Fax 248-849-8117
Mailing address
22250 Providence DrSouthfield, MI 48075-4825
Phone 248-849-5862 · Fax 248-849-8117
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