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WARREN GASTROENTEROLOGY PC NPI 1023211422


NPI Information

NPI: 1023211422
Provider Name: WARREN GASTROENTEROLOGY PC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 23D0365534

Address:
27560 HOOVER RD
WARREN, MI
ZIP 48093
Phone: (586) 757-6400
Get Directions

WARREN GASTROENTEROLOGY PC is a gastroenterology internal medicine in Warren, MI. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. WARREN GASTROENTEROLOGY PC NPI is 1023211422. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

27560 HOOVER RD
WARREN, MI
ZIP 48093-505
Phone: (586) 757-6400
Fax: (586) 757-8400

The provider's authorized official is Ghaith M Ibrahim .
The authorized official title is President and has the following contact phone number (586) 757-6400.

The CLIA number assigned to this NPI record is 23D0365534 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 3/16/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMICHIGANNo
2207RG0100XInternal MedicineGastroenterologyMICHIGANYes

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
10P48380MEDICARE PINMICHIGAN
2G84226MEDICARE UPINMICHIGAN
34813806MEDICAIDMICHIGAN

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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