Organization
LADAN AMINI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADAN AMINI MD (PRESIDENT)
(734) 282-2020
Entity
Organization
Contact information
Practice address
15450 NORTHLINE RD, SUITE 101, SOUTHGATE, MI 48195-2398
(734) 282-2020
(734) 282-2002
Mailing address
15450 NORTHLINE RD, SUITE 101, SOUTHGATE, MI 48195-2398
(734) 282-2020
(734) 282-2002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301080497
MI
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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