Provider Demographics
NPI:1275511180
Name:ARMIN, ARASH (DO)
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:
Last Name:ARMIN
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 1:3501 SHAKESPEARE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-1493
Mailing Address - Country:US
Mailing Address - Phone:248-302-0482
Mailing Address - Fax:248-649-5895
Practice Address - Street 1:5450 FORT ST
Practice Address - Street 2:EMERGENCY MEDICINE DEPARTMENT
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-4601
Practice Address - Country:US
Practice Address - Phone:734-671-3883
Practice Address - Fax:734-671-3546
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2014-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101013514207P00000X
VA0102202213207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
11270947OtherCAQH
MI1275511180Medicaid
MI1275511180Medicaid