KAISER MEDICAL CENTER PC NPI 1235325226

NPI Information

  • NPI: 1235325226
  • Provider Name: KAISER MEDICAL CENTER PC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Organization
  • Doing Business As: KAISER MEDICAL CENTER
  • Address: 11670 MARTIN RD
    WARREN, MI
    ZIP 48093
  • Phone: (586) 754-3830

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NPI Details

KAISER MEDICAL CENTER PC is a medical physician assistant in Warren, MI. KAISER MEDICAL CENTER PC NPI is 1235325226. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kaiser Medical Center.

The provider's business location address is:

11670 MARTIN RD
WARREN, MI
ZIP 48093-511
Phone: (586) 754-3830

The provider's authorized official is Madhavi None Kanneganti .
The authorized official title is Physician and has the following contact phone number (586) 754-3830.

The enumeration date for this NPI number is 9/24/2007 and was last updated on 9/13/2024.

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
1363AM0700XPhysician AssistantMedicalMK058470MICHIGANYes

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: 11/21/2025

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