Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mariam Joseph Costandi, MD

Individual provider Family Medicine Physician · NPI 1487850509

Dr. Mariam Joseph Costandi, MD is a Family Practice in Detroit, Michigan. Qualified in 2003, 23 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 874-9151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301090069 (MI)

Record details

NPI number1487850509
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESMarch 25, 2021
Certification dateMarch 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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