Provider Demographics
NPI:1134456767
Name:PARASKEVI ORFANOU, MD PLLC
Entity Type:Organization
Organization Name:PARASKEVI ORFANOU, MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:PARASEKEVI
Authorized Official - Middle Name:
Authorized Official - Last Name:ORFANOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-662-4333
Mailing Address - Street 1:26850 PROVIDENCE PARKWAY
Mailing Address - Street 2:504
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374
Mailing Address - Country:US
Mailing Address - Phone:248-662-4333
Mailing Address - Fax:248-662-3022
Practice Address - Street 1:26850 PROVIDENCE PARKWAY
Practice Address - Street 2:504
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374
Practice Address - Country:US
Practice Address - Phone:248-662-4333
Practice Address - Fax:248-662-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIPO057744208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty