Provider Demographics
NPI:1598702250
Name:ORFANOU, PARASKEVI (MD)
Entity Type:Individual
Prefix:DR
First Name:PARASKEVI
Middle Name:
Last Name:ORFANOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26850 PROVIDENCE PKWY
Mailing Address - Street 2:SUITE 504
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1213
Mailing Address - Country:US
Mailing Address - Phone:248-662-4333
Mailing Address - Fax:248-662-4333
Practice Address - Street 1:26850 PROVIDENCE PKWY
Practice Address - Street 2:SUITE 504
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1213
Practice Address - Country:US
Practice Address - Phone:248-662-4333
Practice Address - Fax:248-662-4333
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010577442086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4849504Medicaid
MIH06516Medicare UPIN
MI0N20590003Medicare ID - Type Unspecified