FERNANDO DIAZ M.D. NPI 1184610875

NPI Information

NPI: 1184610875
Provider Name: FERNANDO DIAZ, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
29275 NORTHWESTERN HWY
STE 100
SOUTHFIELD, MI
ZIP 48034
Phone: (877) 784-3667
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Fernando Diaz, M.D. is a specialist in Southfield, MI with 54 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Fernando Diaz, M.D. NPI is 1184610875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

29275 NORTHWESTERN HWY
STE 100
SOUTHFIELD, MI
ZIP 48034-044
Phone: (877) 784-3667
Fax: (248) 784-3743

The NPI 1184610875 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2005 and was last updated on 11/4/2010.

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
1	207T00000X	Neurological Surgery		4301040395	MICHIGAN	No
2	174400000X	Specialist		4301040395	MICHIGAN	Yes

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
1	0Q26462	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	GROUP PROVIDER NUMBER
2	B43002	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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