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KID KARE PEDIATRICS PC NPI 1093005613


NPI Information

NPI: 1093005613
Provider Name: KID KARE PEDIATRICS, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D2044586

Address:
6636 N. TELEGRAPH RD
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (313) 274-3123
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KID KARE PEDIATRICS, PC is a pediatrics in Dearborn Heights, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. KID KARE PEDIATRICS, PC NPI is 1093005613. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6636 N. TELEGRAPH RD
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (313) 274-3123
Fax: (313) 274-3343

The provider's authorized official is Haissam Ghaleb El-takech .
The authorized official title is Owner and has the following contact phone number (313) 752-8987.

The CLIA number assigned to this NPI record is 23D2044586 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2011 and was last updated on 11/29/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200082190AMEDICAIDOKLAHOMA

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: 4/28/2024

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