Gennaoui, Elias G

Gennaoui, Elias G is an individual health care provider with primary practice located at 14825 Southfield Rd , Allen Park MI 48101-2642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gennaoui, Elias G can be contacted via phone (313) 386-3930.

Contact Information

Primary practice address
14825 Southfield Rd Allen Park MI 48101-2642
Phone: (313) 386-3930
Fax: (313) 386-0962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301037248 Michigan

Profile Details

NPI number 1316917917
LBN Legal business name Gennaoui, Elias G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 18th, 2023 - about 3 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 1316917917 NPPES
Michigan MEDICAID 3442150

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