BEECH DALY MEDICAL CENTER PLLC NPI 1326160433

NPI Information

NPI: 1326160433
Provider Name: BEECH DALY MEDICAL CENTER, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
23850 VAN BORN RD
DEARBORN HEIGHTS, MI
ZIP 48125
Phone: (313) 278-7750
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BEECH DALY MEDICAL CENTER, PLLC is a general practice in Dearborn Heights, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BEECH DALY MEDICAL CENTER, PLLC NPI is 1326160433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23850 VAN BORN RD
DEARBORN HEIGHTS, MI
ZIP 48125-325
Phone: (313) 278-7750
Fax: (313) 278-8729

The provider's authorized official is Vijayalaksmi Thandra .
The authorized official title is President and has the following contact phone number (313) 278-7750.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 2/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		4301058459	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G12480	MEDICARE UPIN	MICHIGAN
2	P47600	MEDICARE PIN	MICHIGAN
3	G14837	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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