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NORTHWEST CRITICAL CARE SURGEONS PLLC NPI 1194760280


NPI Information

NPI: 1194760280
Provider Name: NORTHWEST CRITICAL CARE SURGEONS, PLLC
Classification: Surgery - 2086S0102X
Entity Type: Organization

Specialization: Surgical Critical Care

CLIA Number: 23D0900528

Address:
27209 LAHSER RD
SUITE 128
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 353-0200
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NORTHWEST CRITICAL CARE SURGEONS, PLLC is a surgical critical care surgery in Southfield, MI. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. NORTHWEST CRITICAL CARE SURGEONS, PLLC NPI is 1194760280. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27209 LAHSER RD
SUITE 128
SOUTHFIELD, MI
ZIP 48034-401
Phone: (248) 353-0200

The provider's authorized official is Atwal Mandip .
The authorized official title is Manager and has the following contact phone number (248) 353-0200.

The CLIA number assigned to this NPI record is 23D0900528 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 12/15/2011.


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
12086S0102XSurgerySurgical Critical Care4301051142MICHIGANYes

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
10P34250MEDICARE PINMICHIGAN

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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