NPI Code Details Logo

NPI 1598828113

NPI 1598828113 : VIGEN DARIAN M.D. : WEST BLOOMFIELD, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1598828113
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    VIGEN DARIAN M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/18/2006
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    HENRY FORD HEALTH SYSTEM 6777 WEST MAPLE ROAD
-----------------------------------------------------
    City                 |    WEST BLOOMFIELD
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48323
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-661-6450
-----------------------------------------------------
    Fax                  |    248-661-6649
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    HENRY FORD HEALTH SYSTEM 6777 WEST MAPLE ROAD
-----------------------------------------------------
    City                 |    WEST BLOOMFIELD
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48323
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-661-6450
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Y00000X
-----------------------------------------------------
    Taxonomy Name        |    Otolaryngology Physician
-----------------------------------------------------
    License Number       |    4301407274
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    208200000X
-----------------------------------------------------
    Taxonomy Name        |    Plastic Surgery Physician
-----------------------------------------------------
    License Number       |    4301407274
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2082S0105X
-----------------------------------------------------
    Taxonomy Name        |    Surgery of the Hand (Plastic Surgery) Physician
-----------------------------------------------------
    License Number       |    4301407274
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.