MY SECOND HOME PEDIATRICS PLLC NPI 1285920462

NPI Information

  • NPI: 1285920462
  • Provider Name: MY SECOND HOME PEDIATRICS PLLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 31000 TELEGRAPH RD
    SUTIE 100
    BINGHAM FARMS, MI
    ZIP 48025
  • Phone: (248) 865-0030

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NPI Details

MY SECOND HOME PEDIATRICS PLLC is a pediatrics in Bingham Farms, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MY SECOND HOME PEDIATRICS PLLC NPI is 1285920462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31000 TELEGRAPH RD
SUTIE 100
BINGHAM FARMS, MI
ZIP 48025-360
Phone: (248) 865-0030

The provider's authorized official is Kalpana Shah .
The authorized official title is Member and has the following contact phone number (248) 865-0030.

The enumeration date for this NPI number is 6/25/2011 and was last updated on 7/4/2011.

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
1208000000XPediatrics2732113MICHIGANYes

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
13289496MEDICAIDMICHIGAN
2A78426MEDICARE UPINMICHIGAN

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: 3/30/2025

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