PAVADEE POOWUTTIKUL M.D. NPI 1952582314

NPI Information

  • NPI: 1952582314
  • Provider Name: PAVADEE POOWUTTIKUL, M.D.
  • Classification: Pediatrics - 2080P0201X
  • Specialization: Pediatric Allergy/Immunology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3950 BEAUBIEN - 3RD FL
    CHILDRENS HOSPITAL OF MI
    DETROIT, MI
    ZIP 48201
  • Phone: (313) 832-8550

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NPI Details

Pavadee Poowuttikul, M.D. is a pediatric allergy/immunology pediatrics in Detroit, MI with 20 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Pavadee Poowuttikul, M.D. NPI is 1952582314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3950 BEAUBIEN - 3RD FL
CHILDRENS HOSPITAL OF MI
DETROIT, MI
ZIP 48201-119
Phone: (313) 832-8550
Fax: (313) 993-8685

The NPI 1952582314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 1/20/2017.

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
1208000000XPediatrics4301090387MICHIGANNo
22080P0201XPediatricsPediatric Allergy/Immunology4301090387MICHIGANYes

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: 3/30/2025

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