Ashkenazi, Maya

Ashkenazi, Maya is an individual health care provider with primary practice located at 23003 Greater Mack Ave , Saint Clair Shores MI 48080-1965. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ashkenazi, Maya can be contacted via phone (586) 779-6830.

Contact Information

Primary practice address
23003 Greater Mack Ave Saint Clair Shores MI 48080-1965
Fax: (586) 771-1603
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301070722 Michigan

Profile Details

NPI number 1376523233
LBN Legal business name Ashkenazi, Maya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376523233 NPPES
Michigan MEDICAID 4248970

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