MEDICARE: DR. ARASH ARMIN D.O.

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	207P00000X	Emergency Medicine Physician	5101013514	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11270947	OTHER		CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275511180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARASH ARMIN D.O.

Provider Business Mailing Address
First Line	:	3501 SHAKESPEARE DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-1493
Country	:	US
Telephone Number	:	248-302-0482
Fax Number	:	248-649-5895

Provider Business Practice Location Address
First Line	:	5450 FORT ST
Second Line	:	EMERGENCY MEDICINE DEPARTMENT
City	:	TRENTON
State	:	MI
Zip	:	48183-4601
Country	:	US
Telephone Number	:	734-671-3883
Fax Number	:	734-671-3546

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	11/23/2014

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