Digestive Disease Clinic Pc

LBN: Digestive Disease Clinic Pc
Digestive Disease Clinic Pc is an health care organization with primary practice located at 18320 Farmington Rd , Livonia MI 48152. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Digestive Disease Clinic Pc can be contacted via phone (248) 476-6100, or through Asbahi, Mowafak A via phone (248) 476-6100.

Contact Information

Primary practice address
18320 Farmington Rd Livonia MI 48152
Phone: (248) 476-6100
Fax: (248) 471-6452
Website:
Map and Directions
Authorized official contact:
Name: Asbahi, Mowafak A Doctor of Medicine (MD)
Phone: (248) 476-6100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301033455 Michigan

Profile Details

NPI number 1043572563
LBN Legal business name Digestive Disease Clinic Pc
DBA Doing business as
Authorized official Asbahi, Mowafak A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2012
Last updated Oct 12th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043572563 NPPES
Michigan MEDICAID 102699892

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