Provider Demographics
NPI:1588956254
Name:ISKENDERIAN, ZIYAD T (MD)
Entity type:Individual
Prefix:
First Name:ZIYAD
Middle Name:T
Last Name:ISKENDERIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18161 W 12 MILE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2662
Mailing Address - Country:US
Mailing Address - Phone:248-552-1200
Mailing Address - Fax:248-552-1201
Practice Address - Street 1:22250 PROVIDENCE DR
Practice Address - Street 2:SUITE 301 A&B
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4825
Practice Address - Country:US
Practice Address - Phone:248-849-3281
Practice Address - Fax:248-849-8449
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301098933208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist