Provider Demographics
NPI:1992742597
Name:ARRINE, JAVAID (MD)
Entity type:Individual
Prefix:
First Name:JAVAID
Middle Name:
Last Name:ARRINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2510 S TELEGRAPH RD
Mailing Address - Street 2:SUITE L-177
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0241
Mailing Address - Country:US
Mailing Address - Phone:734-329-5300
Mailing Address - Fax:800-785-5640
Practice Address - Street 1:2510 S TELEGRAPH RD
Practice Address - Street 2:SUITE L-177
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0241
Practice Address - Country:US
Practice Address - Phone:734-329-5300
Practice Address - Fax:800-785-5640
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010637542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M05880047Medicare PIN
MI0P30630187Medicare PIN