MY VISITING PHYSICIANS PC NPI 1740512201

NPI Information

NPI: 1740512201
Provider Name: MY VISITING PHYSICIANS PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
20755 GREENFIELD RD
SUITE 100A
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 946-2050
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MY VISITING PHYSICIANS PC is a general practice in Southfield, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MY VISITING PHYSICIANS PC NPI is 1740512201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20755 GREENFIELD RD
SUITE 100A
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 946-2050

The provider's authorized official is Jonathan Agbebiyi .
The authorized official title is Owner and has the following contact phone number (248) 946-2050.

The enumeration date for this NPI number is 2/9/2010 and was last updated on 4/29/2011.

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
1	207QA0401X	Family Medicine	Addiction Medicine	4301041053	MICHIGAN	No
2	207V00000X	Obstetrics & Gynecology		4301041053	MICHIGAN	No
3	208D00000X	General Practice		4301041053	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: 4/28/2024

NPI Synchronization or Removal

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