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HIGHLAND PEDIATRICS NPI 1376756239


NPI Information

NPI: 1376756239
Provider Name: HIGHLAND PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D0981644

Address:
208 W HIGHLAND RD
STE 100
HIGHLAND, MI
ZIP 48357
Phone: (248) 889-9467
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HIGHLAND PEDIATRICS is a pediatrics in Highland, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HIGHLAND PEDIATRICS NPI is 1376756239. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

208 W HIGHLAND RD
STE 100
HIGHLAND, MI
ZIP 48357-574
Phone: (248) 889-9467
Fax: (586) 773-1211

The provider's authorized official is Ardeshir Irani .
The authorized official title is Physician and has the following contact phone number (586) 773-1823.

The CLIA number assigned to this NPI record is 23D0981644 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 1/17/2012.


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
1208000000XPediatricsAI064238MICHIGANYes

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
138582550OTHERMICHIGANTAX ID
24343844MEDICAIDMICHIGAN
3H34068MEDICARE UPINMICHIGAN
43506329012OTHERMICHIGANBCBS

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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