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GUAT SY JR MD PC NPI 1780686469


NPI Information

NPI: 1780686469
Provider Name: GUAT SY JR MD PC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
17000 HUBBARD DR
STE 700
DEARBORN, MI
ZIP 48126
Phone: (313) 271-2990
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GUAT SY JR MD PC is a colon rectal surgery in Dearborn, MI. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. GUAT SY JR MD PC NPI is 1780686469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17000 HUBBARD DR
STE 700
DEARBORN, MI
ZIP 48126-205
Phone: (313) 271-2990
Fax: (313) 271-1698

The provider's authorized official is Guat Sia Sy .
The authorized official title is President and has the following contact phone number (313) 271-2990.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 8/7/2009.


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
1208600000XSurgery4301040071MICHIGANNo
2208C00000XColon & Rectal Surgery4301040071MICHIGANYes

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
11780686469MEDICAIDMICHIGAN
2B45647MEDICARE UPIN
3DP0095OTHERMICHIGANRAILROAD MEDICARE
44079900OTHERMICHIGANAETNA
5B45647OTHERMICHIGANHAP
62929938-10MEDICAIDMICHIGAN
7020H237340OTHERMICHIGANBCN GROUP
8MI1749MEDICARE PINMICHIGAN
9020H237340OTHERMICHIGANBCBS GROUP

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

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