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WAYNE STATE UNIVERSITY NPI 1316481195


NPI Information

NPI: 1316481195
Provider Name: WAYNE STATE UNIVERSITY

Other Name: UNIVERSITY PHYSICIANS GROUP

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
3901 CHRYSLER SERVICES DRIVE
DETROIT, MI
ZIP 48201
Phone: (313) 993-3434
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WAYNE STATE UNIVERSITY is an adult mental health clinic center in Detroit, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. WAYNE STATE UNIVERSITY NPI is 1316481195. The provider is registered as an organization entity type.
The provider Other Name Is University Physicians Group.

The provider's business location address is:

3901 CHRYSLER SERVICES DRIVE
DETROIT, MI
ZIP 48201
Phone: (313) 993-3434

The provider's authorized official is Alireza Amirsadri .
The authorized official title is Chief Medical Officer and has the following contact phone number (313) 319-3973.

The enumeration date for this NPI number is 12/13/2016 and was last updated on 12/13/2016.


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
1261QM0850XClinic/CenterAdult Mental Health4704104646MICHIGANYes

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: 11/14/2023

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