Provider Demographics
NPI:1043369929
Name:APRAHAMIAN, DAVID ALTON (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALTON
Last Name:APRAHAMIAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40484 COACHWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-3274
Mailing Address - Country:US
Mailing Address - Phone:734-536-4681
Mailing Address - Fax:
Practice Address - Street 1:2395 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48208-1210
Practice Address - Country:US
Practice Address - Phone:313-897-2061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101014142207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine