Healthcare Provider Details

I. General information

NPI: 1689592933
Provider Name (Legal Business Name): AYESHA MUNEER ARAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18101 OAKWOOD BLVD
DEARBORN MI
48124-4089
US

IV. Provider business mailing address

4700 SCHAEFER RD STE 240
DEARBORN MI
48126-3743
US

V. Phone/Fax

Practice location:
  • Phone: 313-593-7000
  • Fax:
Mailing address:
  • Phone: 313-827-0480
  • Fax: 313-827-0472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4351056610
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: