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IMID CONSULTANTS PC NPI 1194742940


NPI Information

NPI: 1194742940
Provider Name: IMID CONSULTANTS PC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
2300 HAGGERTY
STE 1190
W BLOOMFIELD, MI
ZIP 48322
Phone: (248) 229-6255
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IMID CONSULTANTS PC is an infectious disease internal medicine in W Bloomfield, MI. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. IMID CONSULTANTS PC NPI is 1194742940. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2300 HAGGERTY
STE 1190
W BLOOMFIELD, MI
ZIP 48322
Phone: (248) 229-6255
Fax: (248) 624-9825

The provider's authorized official is Brenda Lee Luther .
The authorized official title is Senior Biller and has the following contact phone number (248) 229-6255.

The enumeration date for this NPI number is 7/17/2006 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
1207RI0200XInternal MedicineInfectious Disease4301054621MICHIGANYes

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
14474944MEDICAIDMICHIGAN
21106320881OTHERBC

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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