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ADULT DIABETES & ENDOCRINE CONSULTANTS PLC NPI 1568533768


NPI Information

NPI: 1568533768
Provider Name: ADULT DIABETES & ENDOCRINE CONSULTANTS, PLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 23D1061833

Address:
37650 PROFESSIONAL CENTER DR
SUITE 100A
LIVONIA, MI
ZIP 48154
Phone: (734) 462-1940
Get Directions

ADULT DIABETES & ENDOCRINE CONSULTANTS, PLC is an endocrinology and diabetes and metabolism internal medicine in Livonia, MI. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ADULT DIABETES & ENDOCRINE CONSULTANTS, PLC NPI is 1568533768. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

37650 PROFESSIONAL CENTER DR
SUITE 100A
LIVONIA, MI
ZIP 48154-197
Phone: (734) 462-1940
Fax: (734) 462-1960

The provider's authorized official is Jacqueline Fabello-gamiao .
The authorized official title is Owner and has the following contact phone number (734) 462-1940.

The CLIA number assigned to this NPI record is 23D1061833 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2006 and was last updated on 4/20/2008.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism4301060039MICHIGANYes

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
1=========OTHERTAX ID
20P40000MEDICARE ID-TYPE UNSPECIFIED
3I25628MEDICARE UPIN

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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