Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 4301095171 | MI |
N | 207R00000X | Internist | 4301095171 | MI |
N | 111NI0900X | Internist | 4301095171 | MI |
N | 207R00000X | Internist | 55742 | MN |
N | 111NI0900X | Internist | 55742 | MN |
NPI | 1538399613 |
---|---|
Provider Name | Dr. Dariush J Orandi |
First Address | Grand Rapids, MI 49501-3140 |
Second Address | Wyoming, MI 49519-9681 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2009 |
Last Update Date | 30/08/2018 |