Itawi, Ed Adel
Itawi, Ed Adel is an individual health care provider with primary practice located at 601 John St Suite M302, Kalamazoo MI 49007-5341. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Itawi, Ed Adel can be contacted via phone (269) 341-4890.Contact Information
Primary practice address
601 John St Suite M302
Kalamazoo MI 49007-5341
Phone: (269) 341-4890
Fax: (269) 341-4889
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301084241 | Michigan |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301084241 | Michigan |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 4301084241 | Michigan |
Profile Details
NPI number | 1366645574 |
---|---|
LBN Legal business name | Itawi, Ed Adel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2007 |
Last updated | Nov 27th, 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 | 1366645574 | NPPES |
Michigan | MEDICAID | 1366645574 | |
Michigan | Other | 1417961137 |
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