Healthcare Provider Details

I. General information

NPI: 1043289549
Provider Name (Legal Business Name): NESHAN V OHANIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: N SEAN V OHANIAN MD

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 W BIG BEAVER RD
TROY MI
48084-3510
US

IV. Provider business mailing address

3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK MI
48073
US

V. Phone/Fax

Practice location:
  • Phone: 248-458-0400
  • Fax: 248-458-0310
Mailing address:
  • Phone: 248-458-0400
  • Fax: 248-458-0310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number4301044970
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: