Bis, Kostaki

Bis, Kostaki is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bis, Kostaki can be contacted via phone (248) 898-6064.

Contact Information

Primary practice address
3601 W 13 Mile Rd Royal Oak MI 48073-6712
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301406933 Michigan

Profile Details

NPI number 1063481521
LBN Legal business name Bis, Kostaki
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 5th, 2022 - about 2 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 1063481521 NPPES
Michigan MEDICAID 2748253
Michigan Other 300F362420

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