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MIKE ELDIRANI MD PLC NPI 1366077000


NPI Information

NPI: 1366077000
Provider Name: MIKE ELDIRANI MD PLC

Doing Business As: LIFE MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2183262

Address:
25325 FORD RD STE 200
DEARBORN, MI
ZIP 48128
Phone: (313) 456-5050
Get Directions

MIKE ELDIRANI MD PLC is a family medicine in Dearborn, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MIKE ELDIRANI MD PLC NPI is 1366077000. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Life Medical Center.

The provider's business location address is:

25325 FORD RD STE 200
DEARBORN, MI
ZIP 48128-086
Phone: (313) 456-5050
Fax: (313) 914-5922

The provider's authorized official is Diana El Masri .
The authorized official title is Credentialing Coordinator and has the following contact phone number (248) 215-0048.

The CLIA number assigned to this NPI record is 23D2183262 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2020 and was last updated on 4/10/2023.


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
1207Q00000XFamily MedicineYes

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 Other Provider Identifier Issuer
1PENDINGMEDICAIDMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.