Individual
NIVEEN ELAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3925 S TELEGRAPH RD, DEARBORN HEIGHTS, MI 48125-1929
(313) 768-5446
Mailing address
3925 S TELEGRAPH RD, DEARBORN HEIGHTS, MI 48125-1929
(313) 768-5446
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
Primary
—
MI
Other
Enumeration date
02/12/2024
Last updated
06/14/2024
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