Individual provider · Type 1 NPI

Irandokht Mirzaei Jooniani, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1033537816 Active

Practice location

2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department
Detroit, MI 48202-2608

Mailing address

Phr Group Provider Enrollment Unit, 393 E Walnut St Fl 3
Pasadena, CA 91188-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033537816

Irandokht Mirzaei Jooniani, MD's National Provider Identifier is 1033537816, issued on Mar 31, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Dec 6, 2021.