Pearl Dua is a Medical in Warren, Michigan. Pearl Dua practices all healthcare services and medical treatments related to Medical. The NPI Number for Pearl Dua is 1902837677. The last update date is 2013-07-18.
Pearl Dua's current location address is 11900 E 12 Mile Rd, Warren, Michigan. You can contact this provider via phone number 5865827070 and fax number 5865827066. The mailing address for Pearl Dua is 11900 E 12 Mile Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pearl Dua |
|---|---|
| Address | 11900 E 12 Mile Rd, Warren, Michigan |
| Phone Number | 5865827070 |
| Fax Number | 5865827066 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1902837677 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2013-07-18 |
Provider Mailing Address Detail
| Address | 11900 E 12 Mile Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480933400 |
| Phone Number | 5865827070 |
| Fax Number | 5865827066 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601004694 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5601004694 | MI | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Pearl Dua by the Centers for Medicare & Medicaid Services (CMS)?
The Pearl Dua has been assigned the NPI (National Provider Identifier) 1902837677. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Pearl Dua's facilities are geographically located?
The facilities of Pearl Dua are physically situated at the following location: 11900 E 12 Mile Rd, Warren, MI, 480933400.
What is the Pearl Dua's area of specialization and corresponding taxonomy classification?
The Pearl Dua's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902837677 to Pearl Dua?
The Centers for Medicare & Medicaid Services originally issued the 1902837677 to Pearl Dua on 2006-07-05.
When was the information regarding Pearl Dua most recently updated?
The details pertaining to the Pearl Dua, including its address, specialty, and other relevant information, were last refreshed on 2013-07-18.
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