Provider Demographics
NPI:1972296044
Name:MIKHAEL, NARIMAN
Entity type:Individual
Prefix:
First Name:NARIMAN
Middle Name:
Last Name:MIKHAEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13719 23 MILE RD STE 171
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-2907
Mailing Address - Country:US
Mailing Address - Phone:586-443-9455
Mailing Address - Fax:
Practice Address - Street 1:13719 23 MILE RD STE 171
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-2907
Practice Address - Country:US
Practice Address - Phone:586-443-9455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health