Individual provider · NPI-1

Amir A. Damadi, MD

Colon & Rectal Surgery · Southfield, MI

NPI number1487853339
StatusActive
Last updated in NPPESJun 22, 2026

Details

NPI
1487853339
Entity type
Individual (NPI-1)
Name
Amir A. Damadi
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 12, 2007
Certification date
Jun 22, 2026
Last updated
Jun 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery4301080698MIYes

Practice location

22250 Providence Dr Ste 606
Southfield, MI 48075-6214

Phone 248-557-9650 · Fax 248-557-5033

Mailing address

22250 Providence Dr Ste 606
Southfield, MI 48075-6214

Phone 248-557-9650 · Fax 248-557-5035

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