<Unavail>

LBN: Mike Eldirani Md Plc
<Unavail> is an health care organization with primary practice located at 25325 Ford Rd Ste 200 , Dearborn MI 48128-1086. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mike Eldirani Md Plc can be contacted via phone (313) 456-5050, or through El Masri, Diana via phone (248) 215-0048.

Contact Information

Primary practice address
25325 Ford Rd Ste 200 Dearborn MI 48128-1086
Fax: (313) 914-5922
Website:
Authorized official contact:
Name: El Masri, Diana

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1366077000
LBN Legal business name Mike Eldirani Md Plc
DBA Doing business as <Unavail>
Authorized official El Masri, Diana
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2020
Last updated Apr 10th, 2023 - about 3 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 1366077000 NPPES
Michigan MEDICAID PENDING

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