Provider Demographics
NPI:1538399613
Name:ORANDI, DARIUSH J (MD)
Entity type:Individual
Prefix:DR
First Name:DARIUSH
Middle Name:J
Last Name:ORANDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3140
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49501-3140
Mailing Address - Country:US
Mailing Address - Phone:616-459-6867
Mailing Address - Fax:616-726-1180
Practice Address - Street 1:2221 HEALTH DR SW STE 1400
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-9681
Practice Address - Country:US
Practice Address - Phone:616-794-6301
Practice Address - Fax:616-504-1702
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN55742207R00000X
MI4301095171207R00000X, 207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine