SUSAN EDLIBI M.D. NPI 1255825501

NPI Information

NPI: 1255825501
Provider Name: SUSAN EDLIBI, M.D.
Classification: Internal Medicine - 207RA0201X
Entity Type: Individual

Specialization: Allergy & Immunology

Address:
2799 W GRAND BLVD
DETROIT, MI
ZIP 48202
Phone: (313) 916-4988
Get Directions

Susan Edlibi, M.D. is an allergy and immunology internal medicine in Detroit, MI. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. Susan Edlibi, M.D. NPI is 1255825501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2799 W GRAND BLVD
DETROIT, MI
ZIP 48202-689
Phone: (313) 916-4988

The enumeration date for this NPI number is 6/20/2018 and was last updated on 6/30/2022.

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	207R00000X	Internal Medicine		4301114536	MICHIGAN	No
2	208000000X	Pediatrics		4301114536	MICHIGAN	No
3	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	43510399878	MICHIGAN	No
4	207RA0201X	Internal Medicine	Allergy & Immunology	43510399878	MICHIGAN	Yes

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: 5/5/2024

NPI Synchronization or Removal

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