Tolia Pediatric Gi Center Pc
LBN: Tolia Pediatric Gi Center Pc
Tolia Pediatric Gi Center Pc is an health care organization with primary practice located at 22250 Providence Dr Suite 400, Southfield MI 48075-4825. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty.
Tolia Pediatric Gi Center Pc can be contacted via phone (248) 865-0030, or through Tolia, Vasundhara via phone (248) 865-0030.
Contact Information
Primary practice address
22250 Providence Dr Suite 400
Southfield MI 48075-4825
Phone: (248) 865-0030
Fax: (248) 865-0034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 4301037974 | Michigan |
Profile Details
| NPI number | 1972697688 |
|---|---|
| LBN Legal business name | Tolia Pediatric Gi Center Pc |
| DBA Doing business as | |
| Authorized official | Tolia, Vasundhara Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jun 20th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972697688 | NPPES |
| Michigan | Other | 3506356221 | BCBS BCN |
| Michigan | Other | 350F338410 | BCBS BCN |
| Michigan | MEDICAID | 4909504 | BCBS BCN |
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