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DEMELLO MEDICAL CLINIC NPI 1528145935


NPI Information

NPI: 1528145935
Provider Name: DEMELLO MEDICAL CLINIC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
39379 GARFIELD RD
CILNTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 228-0600
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DEMELLO MEDICAL CLINIC is an otolaryngology/facial plastic surgery otolaryngology in Cilnton Township, MI. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DEMELLO MEDICAL CLINIC NPI is 1528145935. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

39379 GARFIELD RD
CILNTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 228-0600
Fax: (586) 228-1839

The provider's authorized official is David William Demello .
The authorized official title is Owner and has the following contact phone number (586) 228-0600.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/15/2013.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryDD007358MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E25675MEDICARE UPIN
24939290MEDICAIDMICHIGAN
3OP28970MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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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