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TOLIA PEDIATRIC GI CENTER PC NPI 1972697688


NPI Information

NPI: 1972697688
Provider Name: TOLIA PEDIATRIC GI CENTER PC
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
22250 PROVIDENCE DR
SUITE 400
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 865-0030
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TOLIA PEDIATRIC GI CENTER PC is a pediatric gastroenterology pediatrics in Southfield, MI. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. TOLIA PEDIATRIC GI CENTER PC NPI is 1972697688. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22250 PROVIDENCE DR
SUITE 400
SOUTHFIELD, MI
ZIP 48075-825
Phone: (248) 865-0030
Fax: (248) 865-0034

The provider's authorized official is Vasundhara Tolia .
The authorized official title is Owner/physician and has the following contact phone number (248) 865-0030.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 6/20/2008.


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
12080P0206XPediatricsPediatric Gastroenterology4301037974MICHIGANYes

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
1350F338410OTHERMICHIGANBCBS BCN
23506356221OTHERMICHIGANBCBS BCN
3G05607MEDICARE UPINMICHIGAN
44909504MEDICAIDMICHIGAN

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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