MEDICARE: INAD NAIM JANINEH DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	5101017672	MI
2	208600000X	Surgery Physician	5315036001	MI

General Provider Information

NPI Number	:	1265685143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INAD NAIM JANINEH DO

Provider Business Mailing Address
First Line	:	5335 AUBURN RD
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48317-4115
Country	:	US
Telephone Number	:	248-212-0116
Fax Number	:	248-212-0143

Provider Business Practice Location Address
First Line	:	5335 AUBURN RD
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48317-4115
Country	:	US
Telephone Number	:	248-212-0116
Fax Number	:	248-212-0143

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2008
Last Update Date	:	12/26/2025

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