Provider Demographics
NPI:1063676856
Name:KINAIA, BAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BAN
Middle Name:
Last Name:KINAIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:37300 DEQUINDRE RD
Mailing Address - Street 2:SUITE 134
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310
Mailing Address - Country:US
Mailing Address - Phone:586-999-5140
Mailing Address - Fax:586-554-7901
Practice Address - Street 1:37300 DEQUINDRE RD
Practice Address - Street 2:SUITE 134
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-3591
Practice Address - Country:US
Practice Address - Phone:586-999-5140
Practice Address - Fax:586-554-7901
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301097492207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine