AVRAHAM EISBRUCH MD NPI 1427140821

NPI Information

NPI: 1427140821
Provider Name: AVRAHAM EISBRUCH, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
1500 EAST MEDICAL CENTER DR
B2 FLOOR UNIVERSITY HOSPITAL RM C490
ANN ARBOR, MI
ZIP 48109
Phone: (734) 936-4300
Get Directions

Avraham Eisbruch, MD is a radiation oncology radiology in Ann Arbor, MI. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Avraham Eisbruch, MD NPI is 1427140821. 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:

1500 EAST MEDICAL CENTER DR
B2 FLOOR UNIVERSITY HOSPITAL RM C490
ANN ARBOR, MI
ZIP 48109-010
Phone: (734) 936-4300

The NPI 1427140821 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 9/29/2006 and was last updated on 3/2/2012.

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	2085R0001X	Radiology	Radiation Oncology	430159986	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
1	F11008	MEDICARE UPIN	MICHIGAN
2	0H16056024	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
3	3453940	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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