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E J DAROS DO PC NPI 1902029713


NPI Information

NPI: 1902029713
Provider Name: E J DAROS DO PC

Doing Business As: FAMILY DOCS CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0903877

Address:
8275 HOLLY RD
SUITE 1
GRAND BLANC, MI
ZIP 48439
Phone: (810) 603-0990
Get Directions

E J DAROS DO PC is a family medicine in Grand Blanc, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. E J DAROS DO PC NPI is 1902029713. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Docs Clinic.

The provider's business location address is:

8275 HOLLY RD
SUITE 1
GRAND BLANC, MI
ZIP 48439-442
Phone: (810) 603-0990
Fax: (810) 603-1678

The provider's authorized official is Evtishios James Daros .
The authorized official title is President and has the following contact phone number (810) 603-0990.

The CLIA number assigned to this NPI record is 23D0903877 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/10/2007 and was last updated on 5/21/2020.


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
1207Q00000XFamily MedicineED007048MICHIGANYes

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 Other Provider Identifier Issuer
14614320MEDICAIDMICHIGAN
2AD013144OTHERMICHIGANSTATE LICENSE NUMBER
3ED007048OTHERMICHIGANSTATE LICENSE NUMBER
41841284437OTHERMICHIGANNPI INDIVIDUAL
5DM076048OTHERMICHIGANSTATE LICENSE NUMBER
64613396MEDICAIDMICHIGAN
72095522MEDICAIDMICHIGAN
81003800350OTHERMICHIGANNPI INDIVIDUAL
9080B511230OTHERMICHIGANBCBSM
101316944333OTHERMICHIGANNPI INDIVIDUAL

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.