Provider Demographics
NPI:1609445147
Name:MIAN, AROOJ FATIMA (MD)
Entity Type:Individual
Prefix:MS
First Name:AROOJ
Middle Name:FATIMA
Last Name:MIAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR # J2000
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:11775 TECUMSEH CLINTON RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MI
Practice Address - Zip Code:49236-9541
Practice Address - Country:US
Practice Address - Phone:517-456-7449
Practice Address - Fax:517-456-6059
Is Sole Proprietor?:No
Enumeration Date:2021-06-20
Last Update Date:2024-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4351047681207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4351047681OtherBOARD OF MEDICINE PHYSICIAN EDUCATIONAL LIMITED LICENSE