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

Samaneh Ashktorab, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902121437

Samaneh Ashktorab, MD is an Otolaryngology in Ann Arbor, Michigan. Graduated from George Washington University School of Medicine in 2010, 16 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Maryland and Michigan.

Years since qualifying
16
Trained at
George Washington University School of Medicine
Licensed in
MD, MI
In the registry since
2010
Specialties on file
2
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

1500 E Medical Center Dr 1st Fl Taubman Center Recp A
Ann Arbor, MI 48109-5000
Phone: (734) 936-8051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4301107019 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence A-236-758-013-883 (MD)

Record details

NPI number1902121437
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2010
Last updated in NPPESDecember 3, 2021
Mailing address3621 S State St, 700 Kms Place, Ann Arbor, MI 48108-1633

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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