Provider Demographics
NPI:1235235599
Name:ARABO, PATRICIA PAZ (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:PAZ
Last Name:ARABO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:PAZ-ARABO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:36475 FIVE MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1971
Mailing Address - Country:US
Mailing Address - Phone:734-655-1260
Mailing Address - Fax:734-655-1445
Practice Address - Street 1:36475 5 MILE RD
Practice Address - Street 2:MEDICAL STAFF OFFICE
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154
Practice Address - Country:US
Practice Address - Phone:734-655-1420
Practice Address - Fax:734-655-1445
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301066615207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4198832Medicaid
MIG59015Medicare UPIN