Provider Demographics
NPI:1528487170
Name:AFROZ, SAMAN
Entity type:Individual
Prefix:
First Name:SAMAN
Middle Name:
Last Name:AFROZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21931 E 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-2906
Mailing Address - Country:US
Mailing Address - Phone:586-533-2622
Mailing Address - Fax:
Practice Address - Street 1:21931 E 9 MILE RD
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-2906
Practice Address - Country:US
Practice Address - Phone:586-533-2622
Practice Address - Fax:586-298-6938
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501004240111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation