Great Lakes Pediatrics

LBN: Great Lakes Pediatrics
Great Lakes Pediatrics is an health care organization with primary practice located at 26000 Hoover Rd 103, Warren MI 48089-1167. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Great Lakes Pediatrics can be contacted via phone (586) 427-1351, or through Rummani-Askar, Sundus via phone (586) 427-1351.

Contact Information

Primary practice address
26000 Hoover Rd 103 Warren MI 48089-1167
Phone: (586) 427-1351
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rummani-Askar, Sundus Doctor of Medicine (MD)
Phone: (586) 427-1351

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4301073962 Michigan

Profile Details

NPI number 1417126715
LBN Legal business name Great Lakes Pediatrics
DBA Doing business as
Authorized official Rummani-Askar, Sundus Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2008
Last updated Feb 21st, 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 1417126715 NPPES
Michigan MEDICAID 4435267

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