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SOUTHGATE EAR NOSE & THROAT CENTER PLLC NPI 1881861292


NPI Information

NPI: 1881861292
Provider Name: SOUTHGATE EAR NOSE & THROAT CENTER PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
14500 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 281-4197
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SOUTHGATE EAR NOSE & THROAT CENTER PLLC is a specialist in Southgate, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHGATE EAR NOSE & THROAT CENTER PLLC NPI is 1881861292. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14500 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195-402
Phone: (734) 281-4197
Fax: (734) 282-0093

The provider's authorized official is Vasudev R Garlapaty .
The authorized official title is Owner and has the following contact phone number (734) 281-4197.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.


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
1174400000XSpecialist4301039321MICHIGANYes

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
1B43106MEDICARE UPINMICHIGAN

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

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