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LAKEVIEW MEDICAL CENTER PC NPI 1285950162


NPI Information

NPI: 1285950162
Provider Name: LAKEVIEW MEDICAL CENTER PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 23D0365555

Address:
23600 HARPER AVE
STE. 103
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 585-2570
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LAKEVIEW MEDICAL CENTER PC is an internal medicine in Saint Clair Shores, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LAKEVIEW MEDICAL CENTER PC NPI is 1285950162. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23600 HARPER AVE
STE. 103
SAINT CLAIR SHORES, MI
ZIP 48080-445
Phone: (586) 585-2570
Fax: (586) 585-2574

The provider's authorized official is Magdy Wanis .
The authorized official title is Owner and has the following contact phone number (586) 585-2570.

The CLIA number assigned to this NPI record is 23D0365555 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2010 and was last updated on 4/16/2010.


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
1207R00000XInternal MedicineYes

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
10M98390MEDICARE PIN
27189170OTHERAETNA
3P105025OTHERBCN
4110500795-2OTHERBCBS
5G89641OTHERHAP
64243830MEDICAIDMICHIGAN
7P00051536OTHERMEDICARE RR
8912517500OTHERMEDICAID FLORIDA
9G89641MEDICARE UPIN
10127679OTHERCARE CHOICES
1121969OTHERHEALTH PLAN OF MICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.