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NPI Code Detail

MEDICARE: ESMAEIL EMAMI

MEDICARE: ESMAEIL EMAMI
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
12084P0804XChild & Adolescent Psychiatry Physician4301042915MI

General Provider Information

NPI Number : 1316376056
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESMAEIL EMAMI
Provider Business Mailing Address
First Line : 2955 FRANKLIN RD
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0917
Country : US
Telephone Number : 248-338-0819
Fax Number :
Provider Business Practice Location Address
First Line : 2955 FRANKLIN RD
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0917
Country : US
Telephone Number : 248-338-0819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2013
Last Update Date : 11/04/2013

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Directions to “ ESMAEIL EMAMI ” Practice Location

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