Ladan Amini MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301080497 Issued in MI

Legal business name

LADAN AMINI MD PC

Practice address

15450 Northline Rd
Suite 101
Southgate, MI 48195-2398

Phone

(734) 282-2020

Fax

(734) 282-2002

NPI assigned

Nov 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ladan Amini, MD

Title

President

Phone

(734) 282-2020

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1912234386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15450 NORTHLINE RD",
            "address_2": "SUITE 101",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952398",
            "telephone_number": "734-282-2020",
            "fax_number": "734-282-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 NORTHLINE RD",
            "address_2": "SUITE 101",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952398",
            "telephone_number": "734-282-2020",
            "fax_number": "734-282-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADAN AMINI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "LADAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-282-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Kurtz
• Terry Kurylo
• Telur Kuykkendall
• Sara Labelle, M.S., LPC
• Veronica Lacasse
• Amber Laderach
• Kate Anne Lafayette, M.S.S.A., LMSW
• Michael Patrick Lamay II
• Rita M Lambrix, LMSW
• Lamis,Inc.

• Internal Medicine Physician in Southgate, MI
• Providers in Southgate, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.