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ALLERGY & IMMUNOLOGY ASSOCIATES OF DEARBORN PC NPI 1154807337


NPI Information

NPI: 1154807337
Provider Name: ALLERGY & IMMUNOLOGY ASSOCIATES OF DEARBORN PC

Doing Business As: ALLERGY ASSOCIATES OF DEARBORN

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
751 S MILITARY ST
DEARBORN, MI
ZIP 48124
Phone: (313) 274-3311
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ALLERGY & IMMUNOLOGY ASSOCIATES OF DEARBORN PC is an allergy immunology in Dearborn, MI. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. ALLERGY & IMMUNOLOGY ASSOCIATES OF DEARBORN PC NPI is 1154807337. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Allergy Associates Of Dearborn.

The provider's business location address is:

751 S MILITARY ST
DEARBORN, MI
ZIP 48124-107
Phone: (313) 274-3311
Fax: (313) 274-3311

The provider's authorized official is Roula Daher .
The authorized official title is Owner/physician and has the following contact phone number (313) 623-7617.

The enumeration date for this NPI number is 7/11/2018 and was last updated on 7/11/2018.


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
1207K00000XAllergy & Immunology4301101430MICHIGANYes

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
18301701MEDICAIDMICHIGAN

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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