Individual
SHAYAN ASSAIE-ARDAKANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22250 PROVIDENCE DR, SOUTHFIELD, MI 48075-4825
(248) 849-5862
(248) 849-8117
Mailing address
22250 PROVIDENCE DR, SOUTHFIELD, MI 48075-4825
(248) 849-5862
(248) 849-8117
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351052795
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2024
Last updated
04/19/2024
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