Provider Demographics
NPI:1487619623
Name:AHARONOV, JULIA M (DO)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:AHARONOV
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:6552 ALDERLEY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3847
Mailing Address - Country:US
Mailing Address - Phone:248-894-8545
Mailing Address - Fax:888-480-9012
Practice Address - Street 1:23800 ORCHARD LAKE RD STE 100
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-2561
Practice Address - Country:US
Practice Address - Phone:800-603-1813
Practice Address - Fax:888-480-9012
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101014415207L00000X, 207LA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4712581Medicaid