DR. ANDREW I. DZUL M.D. NPI 1295828358

NPI Information

NPI: 1295828358
Provider Name: DR. ANDREW I. DZUL, M.D.
Classification: Otolaryngology - 207YX0602X
Entity Type: Individual

Specialization: Otolaryngic Allergy

PECOS Registration: Yes

Address:
21000 E 12 MILE RD
SUITE 111
SAINT CLAIR SHORES, MI
ZIP 48081
Phone: (586) 779-7610
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DR. Andrew I. Dzul, M.D. is an otolaryngic allergy otolaryngology in Saint Clair Shores, MI. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. DR. Andrew I. Dzul, M.D. NPI is 1295828358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21000 E 12 MILE RD
SUITE 111
SAINT CLAIR SHORES, MI
ZIP 48081-116
Phone: (586) 779-7610

The NPI 1295828358 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/9/2012.

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	207YX0602X	Otolaryngology	Otolaryngic Allergy	AD044645	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	Other Provider Identifier Issuer
1	2340163001	OTHER		CIGNA
2	A76344	MEDICARE UPIN	MICHIGAN
3	0E06192005	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MEDICARE GROUP
4	103904	OTHER		GREAT LAKES
5	C4865	OTHER		MCARE
6	040000850	OTHER		RAILROAD MEDICARE
7	101664	OTHER		CARE CHOICES
8	4033205	OTHER		AETNA
9	05001177041	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
10	0405001172	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
11	040E061920	OTHER	MICHIGAN	BLUE SHIELD GROUP
12	0500117	OTHER		BLUE CARE NETWORK
13	A76344	OTHER		HEALTH ALLIANCE PLAN

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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