Infectious Diseases Associates, P.C.

LBN: Infectious Diseases Associates, P.C.
Infectious Diseases Associates, P.C. is an health care organization with primary practice located at 5333 Mcauley Dr R3106, Ypsilanti MI 48197-1014. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Infectious Diseases Associates, P.C. can be contacted via phone (734) 712-8600, or through Otto, Michael via phone (734) 712-8600.

Contact Information

Primary practice address
5333 Mcauley Dr R3106 Ypsilanti MI 48197-1014
Phone: (734) 712-8600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Otto, Michael Doctor of Medicine (MD)
Phone: (734) 712-8600

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 029166 Michigan

Profile Details

NPI number 1730135294
LBN Legal business name Infectious Diseases Associates, P.C.
DBA Doing business as
Authorized official Otto, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Jul 7th, 2010 - about 14 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 1730135294 NPPES
Michigan MEDICAID 1046837

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