Delta Renal Group, P.C.
LBN: Boniface A. Tubie, M.D.
Delta Renal Group, P.C. is an health care organization with primary practice located at 20755 Greenfield Rd Suite #203, Southfield MI 48075-5403. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Technologists, Technicians & Other Technical Service Providers / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Boniface A. Tubie, M.D. can be contacted via phone (248) 395-2206, or through Tubie, Boniface Atakekor via phone (248) 395-2206.
Contact Information
Primary practice address
20755 Greenfield Rd Suite #203
Southfield MI 48075-5403
Phone: (248) 395-2206
Fax: (248) 395-0456
Website:
Authorized official contact:
Name: Tubie, Boniface Atakekor Doctor of Medicine (MD)
Phone: (248) 395-2206
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301072901 | Michigan |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 43010729901 | Michigan |
| Technologists, Technicians & Other Technical Service Providers / Nephrology | 246ZN0300X | 4301072901 | Michigan |
Profile Details
| NPI number | 1912001314 |
|---|---|
| LBN Legal business name | Boniface A. Tubie, M.D. |
| DBA Doing business as | Delta Renal Group, P.C. |
| Authorized official | Tubie, Boniface Atakekor Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912001314 | NPPES |
| Michigan | MEDICAID | 4341231 |
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