MOON PAIK MD NPI 1912255746

NPI Information

NPI: 1912255746
Provider Name: MOON PAIK MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
28111 HOOVER RD
UNIT 7A
WARREN, MI
ZIP 48093
Phone: (586) 573-0902
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MOON PAIK MD is an obstetrics gynecology in Warren, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MOON PAIK MD NPI is 1912255746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28111 HOOVER RD
UNIT 7A
WARREN, MI
ZIP 48093-153
Phone: (586) 573-0902

The provider's authorized official is Laura Neville .
The authorized official title is Office Manager and has the following contact phone number (586) 226-3671.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.

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	207V00000X	Obstetrics & Gynecology		4301033213	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	Other Provider Identifier Issuer
1	0502477	MEDICARE UPIN
2	4784698	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: 5/5/2024

NPI Synchronization or Removal

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