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NEIL D JADDOU MD PC NPI 1679655823


NPI Information

NPI: 1679655823
Provider Name: NEIL D JADDOU MD PC

Doing Business As: SOMERSET FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D1022023

Address:
1615 W BIG BEAVER RD
TROY, MI
ZIP 48084
Phone: (248) 816-1010
Get Directions

NEIL D JADDOU MD PC is a family medicine in Troy, 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. NEIL D JADDOU MD PC NPI is 1679655823. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Somerset Family Medicine.

The provider's business location address is:

1615 W BIG BEAVER RD
TROY, MI
ZIP 48084-539
Phone: (248) 816-1010

The provider's authorized official is Neil Jaddou .
The authorized official title is President and has the following contact phone number (248) 816-1010.

The CLIA number assigned to this NPI record is 23D1022023 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 4/30/2009.


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
1207Q00000XFamily MedicineNJ065821MICHIGANYes

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
1H03134MEDICARE UPINMICHIGAN
2080F339440OTHERMICHIGANBC/BS
3124427OTHERMICHIGANCARE CHOICES
40N96040MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
50806317921OTHERMICHIGANBCBS
6H03134OTHERMICHIGANHAP
7=========OTHERMICHIGANTAX ID

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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