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ALLERGY & ASTHMA CLINIC PLLC NPI 1073619193


NPI Information

NPI: 1073619193
Provider Name: ALLERGY & ASTHMA CLINIC PLLC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
814 N MACOMB ST
MONROE, MI
ZIP 48162
Phone: (734) 242-2255
Get Directions

ALLERGY & ASTHMA CLINIC PLLC is an allergy allergy immunology in Monroe, MI. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee ALLERGY & ASTHMA CLINIC PLLC NPI is 1073619193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

814 N MACOMB ST
MONROE, MI
ZIP 48162-930
Phone: (734) 242-2255
Fax: (734) 243-9261

The provider's authorized official is Kanti Hiralal Shah .
The authorized official title is Partnership and has the following contact phone number (734) 242-2255.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 9/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergy4301032767MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151988OTHEROMNICARE
24447580MEDICAIDMICHIGAN
34054378OTHERAETNA
4B45448MEDICARE UPIN
5ON88950MEDICARE ID-TYPE UNSPECIFIED
6P00060252OTHERRR MEDICARE
70586116OTHERBCN
81159OTHERHPM
902183OTHERPARAMOUNT
103505861161OTHERBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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