Individual
DR. IRANDOKHT MIRZAEI JOONIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
PHR GROUP PROVIDER ENROLLMENT UNIT, 393 E WALNUT ST FL 3, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
12/06/2021
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