General Practitioners

• Medical Weight Loss
• Primary Care
  Hospitalist Service of Michigan is company that offers assistance to Primary Care Physicians, Surgeons and Sub-Specialists with comprehensive care of hospitalized patients.
• Smoking Cessation
  Having practiced medicine for more than 30 years, Dr. Mirijanian is a firm believer that a passion to help others, honesty and integrity are the primary components that make a successful physician. One of her main goals as an internal medicine physician is to promote preventative medicine that focuses on cardiovascular disease, cholesterol, high blood pressure and smoking cessation. As a woman and physician she supports woman's health issues, especially breast and genital cancers. She enjoys being a member of this strong medical team in the Clarkston Community and hopes to serve the community for many years to come. Dr. Mirijanian is accepting new patients.
• Emergency Care
  Our office has blocked appointment times so we are able to accommodate our patients with same day appointments. Please call our office before going to an urgent care clinic or the hospital. When using an urgent care clinic or a hospital your out-of-pocket expense will be greater.
• Immunizations

Internists

• Internal Medicine
  A native of Syria, Dr. Okka completed his residency at St. Joseph Mercy Oakland in Pontiac, Michigan, and joined Clarkston Internal Medicine in 1998. With a special interest in inpatient care and cardiovascular disease, he has an extended practice that includes practicing as a hospitalist treating other physicians' patients.

Psychiatrists

• Mental Health
  Dr. Mirijanian lives in Clarkston with her son, daughter-in-law and grandson. She has a daughter who has a Doctorate in Physical Chemistry and presently works for the NIH. Dr. Mirijanian enjoys classical music and art, and loves going to the opera. In her spare time she enjoys cooking and gardening. Dr. Mirijanian's journey as a physician has been filled with multiple opportunities in teaching as well. She supervised and trained medical residents for St. Joseph Mercy Hospital and was an Assistant Professor at Wayne State University Medical School. In conjunction with her work at Clarkston Internal Medicine she also worked at the Oakland County Mental Health Department and was the medical director for the research on Fragile X Syndrome. The success of the program was recognized in the Oakland Press.

Endocrinologist

• Hypothyroidism
  Your internist can screen for hypothyroidism with a simple blood test for Thyroid-Stimulating Hormone (TSH). Guidelines from the American College of Physicians (ACP) recommend hypothyroid screening for women over 50.**
• Thyroid
  Hypothyroidism, also known as "underactive thyroid disease," is a common adult condition of the thyroid, a gland that regulates the body's energy. It occurs when the thyroid gland stops producing enough of the thyroid hormones T3 and T4. When the thyroid does not produce enough hormone, it slows down the body's metabolism and the gland itself shrinks as its cells are destroyed by the subtle effect in the patient's immune system. The gland is shaped like a bow tie wrapped around the windpipe at the base of the throat.