Kandah, Domian

Kandah, Domian is an individual health care provider with primary practice located at 11800 E 12 Mile Rd , Warren MI 48093-3472. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kandah, Domian can be contacted via phone (586) 573-5059.

Contact Information

Primary practice address
11800 E 12 Mile Rd Warren MI 48093-3472
Phone: (586) 573-5059
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 008716 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101008716 Michigan

Profile Details

NPI number 1013954585
LBN Legal business name Kandah, Domian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013954585 NPPES
Michigan MEDICAID 112905533
Michigan MEDICAID 114218327
Michigan MEDICAID 112905758
Michigan MEDICAID 2791439
Michigan MEDICAID 112905749
Michigan Other 000000552888
Michigan MEDICAID 114206077
Michigan Other P00427186
Michigan Other DK008716

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