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ENDOCRINOLOGY AND DIABETES CENTER OF PORT HURON PLLC NPI 1669454559


NPI Information

NPI: 1669454559
Provider Name: ENDOCRINOLOGY AND DIABETES CENTER OF PORT HURON PLLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
4190 24TH AVE
SUITE: 201
FORT GRATIOT, MI
ZIP 48059
Phone: (810) 989-7478
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ENDOCRINOLOGY AND DIABETES CENTER OF PORT HURON PLLC is an endocrinology and diabetes and metabolism internal medicine in Fort Gratiot, MI. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ENDOCRINOLOGY AND DIABETES CENTER OF PORT HURON PLLC NPI is 1669454559. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4190 24TH AVE
SUITE: 201
FORT GRATIOT, MI
ZIP 48059-882
Phone: (810) 989-7478
Fax: (810) 989-7644

The provider's authorized official is Sushma Reddy .
The authorized official title is General Partner and has the following contact phone number (810) 989-7478.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 11/10/2009.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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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