Elias G Gennaoui M.D. Pc

LBN: Elias G Gennaoui M.D. Pc
Elias G Gennaoui M.D. Pc is an health care organization with primary practice located at 14825 Southfield Rd , Allen Park MI 48101-2642. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Elias G Gennaoui M.D. Pc can be contacted via phone (313) 386-3930, or through Gennaoui, Elias G via phone (313) 386-3930.

Contact Information

Primary practice address
14825 Southfield Rd Allen Park MI 48101-2642
Phone: (313) 386-3930
Fax: (313) 386-0962
Website:
Map and Directions
Authorized official contact:
Name: Gennaoui, Elias G Doctor of Medicine (MD)
Phone: (313) 386-3930

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X EG037248 Michigan

Profile Details

NPI number 1205000205
LBN Legal business name Elias G Gennaoui M.D. Pc
DBA Doing business as
Authorized official Gennaoui, Elias G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 17 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 1205000205 NPPES
Michigan MEDICAID 3442150

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