Healthcare Provider Details

I. General information

NPI: 1427790294
Provider Name (Legal Business Name): AVEENA KAUR PELIA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 07/20/2025
Certification Date: 07/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 15 MILE RD
STERLING HEIGHTS MI
48310-5353
US

IV. Provider business mailing address

1 FORD PL STE 3A
DETROIT MI
48202-3450
US

V. Phone/Fax

Practice location:
  • Phone: 586-977-9300
  • Fax:
Mailing address:
  • Phone: 313-874-2892
  • Fax: 313-876-1305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5315260257
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: