My Kids Doc-Southfield in Detroit - Adolescent Medicine
My Kids Doc-Southfield - NPI 1730187840
My Kids Doc-Southfield is a Adolescent Medicine in Detroit, Michigan. My Kids Doc-Southfield practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for My Kids Doc-Southfield is 1730187840. The last update date is 2009-04-29.
My Kids Doc-Southfield's current location address is Po Box 33321, Detroit, Michigan. You can contact this provider via phone number 2483582410 and fax number 2483582470. The mailing address for My Kids Doc-Southfield is Po Box 33321, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | My Kids Doc-Southfield |
|---|---|
| Address | Po Box 33321, Detroit, Michigan |
| Phone Number | 2483582410 |
| Fax Number | 2483582470 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Berry Pamela |
| Credentials | MD |
| Telephone Number | 2483582410 |
NPI Number Detail
| NPI Number | 1730187840 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2009-04-29 |
Provider Mailing Address Detail
| Address | Po Box 33321 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482325321 |
| Phone Number | 2483582410 |
| Fax Number | 2483582470 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | PB047877 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350F300680 | MI | BCN GROUP | |
| 1730187840 | MI | -- | |
| 350F300680 | MI | BCBS GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to My Kids Doc-Southfield by the Centers for Medicare & Medicaid Services?
The My Kids Doc-Southfield has been assigned the NPI (National Provider Identifier) 1730187840 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where My Kids Doc-Southfield is physically located?
The My Kids Doc-Southfield is physically situated at the following address: Po Box 33321, Detroit, MI, 482325321.
What is My Kids Doc-Southfield's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The My Kids Doc-Southfield's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.
When did the My Kids Doc-Southfield receive its 1730187840?
The My Kids Doc-Southfield was issued its 1730187840 on 2005-07-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to My Kids Doc-Southfield, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to My Kids Doc-Southfield, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-04-29.
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