Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Domian Kandah, D.O.

Emergency Medicine Physician in Warren, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013954585

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Registry record

Entity type Individual (Type 1)

Name Domian Kandah

Credential D.O.

Sex Male

Practice address 11800 E 12 Mile Rd, Warren, MI, 48093

Phone (586) 573-5059

Enumeration date Jun 1, 2006

Last updated in NPPES Feb 13, 2023

Taxonomy & licenses

207PE0004X Emergency Medical Services (Emergency Medicine) Physician Allopathic & Osteopathic Physicians · License 008716 (MI) Secondary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 5101008716 (MI) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
112905533	Medicaid	MI	-
114218327	Medicaid	MI	-
112905758	Medicaid	MI	-
2791439	Medicaid	OH	-
112905749	Medicaid	MI	-
000000552888	Other	OH	ANTHEM/BCBS
114206077	Medicaid	MI	-
P00427186	Other	OH	MEDICARE RAILROAD
DK008716	Other	MI	BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Domian Kandah practice?

The practice location on file with NPPES is in Warren, MI. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Domian Kandah?

The National Provider Identifier (NPI) for Domian Kandah is 1013954585, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-13.