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Aveh Bastani

Emergency Medicine in Troy, MI. Individual provider (NPI-1).

NPI number1821067877
StatusActive
Last updated in NPPESJul 19, 2022

Details

NPI
1821067877
Entity type
Individual (NPI-1)
Name
Aveh Bastani
Sex
Male
Sole proprietor
No
Enumeration date
Mar 14, 2006
Certification date
Jul 19, 2022
Last updated
Jul 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine4301075065MIYes

Practice location

44201 Dequindre Rd
Ec
Troy, MI 48085-1117

Phone 248-964-4044

Mailing address

26901 Beaumont Blvd Ste 3d
Southfield, MI 48033-3849

Other practice locations

36555 26 Mile Rd Ste 1100
Lenox, MI 48048-3186

Phone 947-523-4040

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