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CARE PEDIATRICS PLLC NPI 1194892612


NPI Information

NPI: 1194892612
Provider Name: CARE PEDIATRICS PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D2163365

Address:
1000 N TELEGRAPH RD
DEARBORN, MI
ZIP 48128
Phone: (313) 274-6666
Get Directions

CARE PEDIATRICS PLLC is a pediatrics in Dearborn, 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. CARE PEDIATRICS PLLC NPI is 1194892612. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 N TELEGRAPH RD
DEARBORN, MI
ZIP 48128-622
Phone: (313) 274-6666
Fax: (313) 274-4466

The provider's authorized official is Alex Elsabbagh .
The authorized official title is Owner and has the following contact phone number (313) 274-6666.

The CLIA number assigned to this NPI record is 23D2163365 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 1/4/2011.


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
1208000000XPediatrics4301080518MICHIGANYes

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
13508206102OTHERMICHIGANBCBS GROUP PIN
21427056068OTHERMICHIGANPHCS
3151159OTHERMICHIGANGREAT LAKES
46U4930OTHERMICHIGANCIGNA
5786-1OTHERMICHIGANTHC
68206102OTHERMICHIGANBCN
712965OTHERMICHIGANCAPE MEDICAL
8489769110MEDICAIDMICHIGAN
92409638OTHERMICHIGANOHS CARE NGS PED
106U4930OTHERMICHIGANHAP
116U4930MEDICARE UPINMICHIGAN

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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