Great Lakes Physicians Pc in Livonia - Internal Medicine
Great Lakes Physicians Pc - NPI 1164591053
Great Lakes Physicians Pc is a Internal Medicine in Livonia, Michigan. Great Lakes Physicians Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Great Lakes Physicians Pc is 1164591053. The last update date is 2012-09-28.
Great Lakes Physicians Pc's current location address is 36180 Five Mile Road, Livonia, Michigan. You can contact this provider via phone number 7345917666 and fax number 7345912426. The mailing address for Great Lakes Physicians Pc is 36180 Five Mile Road, Livonia, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Physicians Pc |
|---|---|
| Address | 36180 Five Mile Road, Livonia, Michigan |
| Phone Number | 7345917666 |
| Fax Number | 7345912426 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Desai Jayshree |
| Credentials | MD |
| Telephone Number | 7345917666 |
NPI Number Detail
| NPI Number | 1164591053 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2012-09-28 |
Provider Mailing Address Detail
| Address | 36180 Five Mile Road |
|---|---|
| City | Livonia |
| State | Michigan (MI) |
| Post Code | 48154 |
| Phone Number | 7345917666 |
| Fax Number | 7345912426 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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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 |
|---|---|---|---|
| 3323140 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Great Lakes Physicians Pc?
The Great Lakes Physicians Pc has been issued the NPI (National Provider Identifier) 1164591053 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Great Lakes Physicians Pc located?
The Great Lakes Physicians Pc is located at 36180 Five Mile Road, Livonia, MI 48154.
What is Great Lakes Physicians Pc's area of expertise and its corresponding taxonomy classification?
The Great Lakes Physicians Pc's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1164591053 to Great Lakes Physicians Pc?
The Great Lakes Physicians Pc received its 1164591053 assignment from the Centers for Medicare & Medicaid Services on 2006-11-07.
When was the information regarding Great Lakes Physicians Pc most recently updated?
The details pertaining to the Great Lakes Physicians Pc, including its address, specialty, and other relevant information, were last refreshed on 2012-09-28.
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