Elias G Gennaoui M.D. Pc in Allen Park - Specialist
Elias G Gennaoui M.D. Pc - NPI 1205000205
Elias G Gennaoui M.D. Pc is a Specialist in Allen Park, Michigan. Elias G Gennaoui M.D. Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Elias G Gennaoui M.D. Pc is 1205000205. The last update date is 2008-04-22.
Elias G Gennaoui M.D. Pc's current location address is 14825 Southfield Rd, Allen Park, Michigan. You can contact this provider via phone number 3133863930 and fax number 3133860962. The mailing address for Elias G Gennaoui M.D. Pc is 14825 Southfield Rd, Allen Park, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elias G Gennaoui M.D. Pc |
|---|---|
| Address | 14825 Southfield Rd, Allen Park, Michigan |
| Phone Number | 3133863930 |
| Fax Number | 3133860962 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gennaoui G Elias |
| Credentials | M.D. |
| Telephone Number | 3133863930 |
NPI Number Detail
| NPI Number | 1205000205 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 14825 Southfield Rd |
|---|---|
| City | Allen Park |
| State | Michigan (MI) |
| Post Code | 481012642 |
| Phone Number | 3133863930 |
| Fax Number | 3133860962 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | EG037248 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3442150 | MI | -- |
Post Comment/ Review Below
What is the Elias G Gennaoui M.D. Pc's 1205000205?
The Elias G Gennaoui M.D. Pc's NPI (National Provider Identifier) Number is 1205000205. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Elias G Gennaoui M.D. Pc is located?
The Elias G Gennaoui M.D. Pc is situated at the following address: 14825 Southfield Rd, Allen Park, MI, 481012642.
What is Elias G Gennaoui M.D. Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elias G Gennaoui M.D. Pc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205000205 to Elias G Gennaoui M.D. Pc?
The Centers for Medicare & Medicaid Services originally issued the 1205000205 to Elias G Gennaoui M.D. Pc on 2008-04-22.
When was the information pertaining to Elias G Gennaoui M.D. Pc most recently updated or revised?
The details related to Elias G Gennaoui M.D. Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-22.