Gennaoui, Elias G
Gennaoui, Elias G is an individual health care provider with primary practice located at 14825 Southfield Rd , Allen Park MI 48101-2642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gennaoui, Elias G can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301037248 | Michigan |
Profile Details
| NPI number | 1316917917 |
|---|---|
| LBN Legal business name | Gennaoui, Elias G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Dec 18th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316917917 | NPPES |
| Michigan | MEDICAID | 3442150 |
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