Great Lakes Pediatrics in Warren - Adolescent Medicine
Great Lakes Pediatrics - NPI 1417126715
Great Lakes Pediatrics is a Adolescent Medicine in Warren, Michigan. Great Lakes Pediatrics practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Great Lakes Pediatrics is 1417126715. The last update date is 2008-02-21.
Great Lakes Pediatrics's current location address is 26000 Hoover Rd, Warren, Michigan. You can contact this provider via phone number 5864271351. The mailing address for Great Lakes Pediatrics is 26000 Hoover Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Pediatrics |
|---|---|
| Address | 26000 Hoover Rd, Warren, Michigan |
| Phone Number | 5864271351 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rummani-Askar Sundus |
| Credentials | M.D. |
| Telephone Number | 5864271351 |
NPI Number Detail
| NPI Number | 1417126715 |
|---|---|
| Provider Enumeration Date | 2008-02-21 |
| Last Updated Date | 2008-02-21 |
Provider Mailing Address Detail
| Address | 26000 Hoover Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480891167 |
| Phone Number | 5864271351 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 4301073962 |
|
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 |
|---|---|---|---|
| 4435267 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Great Lakes Pediatrics by the Centers for Medicare & Medicaid Services?
The Great Lakes Pediatrics has been issued the NPI (National Provider Identifier) 1417126715, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Great Lakes Pediatrics's physical address?
The Great Lakes Pediatrics is physically located at 26000 Hoover Rd, in the city of Warren, MI, with the postal code 480891167.
What is the Great Lakes Pediatrics's specialty and taxonomy code?
The Great Lakes Pediatrics's specialty is Adolescent Medicine, and the corresponding taxonomy code is 2080A0000X.
On what date did the Great Lakes Pediatrics receive its 1417126715 assignment from the Centers for Medicare & Medicaid Services?
The Great Lakes Pediatrics was assigned its 1417126715 by the Centers for Medicare & Medicaid Services on 2008-02-21.
When was the information pertaining to Great Lakes Pediatrics most recently updated or revised?
The details related to Great Lakes Pediatrics, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-21.
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