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WOMENS LIFE CYCLES OB GYN PC NPI 1922335488


NPI Information

NPI: 1922335488
Provider Name: WOMENS LIFE CYCLES OB GYN PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 23D2000265

Address:
42287 CHERRY HILL RD
SUITE D
CANTON, MI
ZIP 48188
Phone: (734) 981-2800
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WOMENS LIFE CYCLES OB GYN PC is an obstetrics gynecology in Canton, 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. WOMENS LIFE CYCLES OB GYN PC NPI is 1922335488. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

42287 CHERRY HILL RD
SUITE D
CANTON, MI
ZIP 48188-975
Phone: (734) 981-2800

The provider's authorized official is Jyothi Nichanametla .
The authorized official title is Owner and has the following contact phone number (734) 981-2800.

The CLIA number assigned to this NPI record is 23D2000265 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2009 and was last updated on 11/22/2011.


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
1207V00000XObstetrics & Gynecology4301079947MICHIGANYes

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=========OTHERMICHIGANTAX ID #

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

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