NPI 1013954585

Domian Kandah, DO

Practitioner Emergency Medicine Physician Warren, MI

Practice location

Address: 11800 E 12 Mile Rd, Warren, MI 48093-3472
Phone: (586) 573-5059
Mailing address: 307 S Evergreen Ave, Woodbury, NJ 08096-2739

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 5101008716 (MI)

Other Emergency Medicine providers in Michigan →

Emergency Medical Services (Emergency Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 008716 (MI)

Registry record

NPI: 1013954585
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2006
Record last updated: 13 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.