Southeast Michigan Medical Associates Pc in Lathrup Village - Internal Medicine
Southeast Michigan Medical Associates Pc - NPI 1417001660
Southeast Michigan Medical Associates Pc is a Internal Medicine in Lathrup Village, Michigan. Southeast Michigan Medical Associates Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Southeast Michigan Medical Associates Pc is 1417001660. The last update date is 2017-02-21.
Southeast Michigan Medical Associates Pc's current location address is 18451 W 12 Mile Rd, Lathrup Village, Michigan. You can contact this provider via phone number 2488277612 and fax number 2488277615. The mailing address for Southeast Michigan Medical Associates Pc is 18451 W 12 Mile Rd, Lathrup Village, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Michigan Medical Associates Pc |
|---|---|
| Address | 18451 W 12 Mile Rd, Lathrup Village, Michigan |
| Phone Number | 2488277612 |
| Fax Number | 2488277615 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bansal Kumar Ashok |
| Credentials | M.D. |
| Telephone Number | 2488277612 |
NPI Number Detail
| NPI Number | 1417001660 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2017-02-21 |
Provider Mailing Address Detail
| Address | 18451 W 12 Mile Rd |
|---|---|
| City | Lathrup Village |
| State | Michigan (MI) |
| Post Code | 480762644 |
| Phone Number | 2488277612 |
| Fax Number | 2488277615 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301057441 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1106306332 | MI | BCBSM | |
| 3150549 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Southeast Michigan Medical Associates Pc by the Centers for Medicare & Medicaid Services?
The Southeast Michigan Medical Associates Pc has been assigned the NPI (National Provider Identifier) 1417001660. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Southeast Michigan Medical Associates Pc's physical address?
The Southeast Michigan Medical Associates Pc is physically located at 18451 W 12 Mile Rd, in the city of Lathrup Village, MI, with the postal code 480762644.
What is Southeast Michigan Medical Associates Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southeast Michigan Medical Associates Pc's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417001660 to Southeast Michigan Medical Associates Pc?
The Centers for Medicare & Medicaid Services originally issued the 1417001660 to Southeast Michigan Medical Associates Pc on 2007-01-23.
As of what date were the details pertaining to Southeast Michigan Medical Associates Pc last refreshed?
The information related to the Southeast Michigan Medical Associates Pc, including its address, specialty, and other relevant details, was last updated on 2017-02-21.