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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366645574 NPPES
Michigan MEDICAID 1366645574
Michigan Other 1417961137

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