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ST CLAIR SHORES OBSTETRICS AND GYNECOLGY PLC NPI 1164535886


NPI Information

NPI: 1164535886
Provider Name: ST CLAIR SHORES OBSTETRICS AND GYNECOLGY, PLC

Doing Business As: SHORES OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
19714 E 10 MILE RD
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 779-9400
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ST CLAIR SHORES OBSTETRICS AND GYNECOLGY, PLC is an obstetrics gynecology in Saint Clair Shores, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ST CLAIR SHORES OBSTETRICS AND GYNECOLGY, PLC NPI is 1164535886. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Shores Ob/gyn.

The provider's business location address is:

19714 E 10 MILE RD
SAINT CLAIR SHORES, MI
ZIP 48080-064
Phone: (586) 779-9400
Fax: (586) 779-8949

The provider's authorized official is Constantine Raphtis .
The authorized official title is Member and has the following contact phone number (586) 779-9400.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 8/22/2020.


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
1207V00000XObstetrics & GynecologyYes

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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