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Domian Kandah, DO
Emergency Medicine Physician in Warren, Michigan
NPI 1013954585

Domian Kandah is a Emergency Medicine Physician based in Woodbury, MI. Domian Kandah practices in Warren, MI and has the professional credentials of DO. The NPI Number for Domian Kandah is 1013954585 and holds a License No. 008716 (Michigan).

The current practice location address for Domian Kandah is 11800 E 12 Mile Rd, Warren, MI and can be reached out via phone at 586-573-5059. You can also correspond with Domian Kandah through the mailing address at 307 S EVERGREEN AVE, WOODBURY, NJ - 08096-2739 (mailing address contact number: 856-686-4308).

Location: 11800 E 12 Mile Rd, Warren, MI, 08096-2739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013954585
Provider Name
Domian Kandah
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
11800 E 12 Mile Rd, Warren, MI, 08096-2739
Phone Number
586-573-5059
Fax Number
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112905533 05 MI
114218327 05 MI
112905758 05 MI
2791439 05 OH
112905749 05 MI
000000552888 01 OH ANTHEM/BCBS
114206077 05 MI
P00427186 01 OH MEDICARE RAILROAD
DK008716 01 MI BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
11800 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3472
Phone Number
586-573-5059
Fax Number
person
Provider Business Mailing Address Details
Address
307 S Evergreen Ave
City
Woodbury
State
New Jersey
Zip
08096-2739
Phone Number
856-686-4308
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
5101008716 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
008716 (Michigan)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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