Internal Medicine Specialists

LBN: Mmg 1 Pc
Internal Medicine Specialists is an health care organization with primary practice located at 5821 W Maple Rd Suite 190, West Bloomfield MI 48322-2275. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mmg 1 Pc can be contacted via phone (248) 855-0407, or through Trivax, Geoffrey A via phone (313) 538-3099.

Contact Information

Primary practice address
5821 W Maple Rd Suite 190 West Bloomfield MI 48322-2275
Phone: (248) 855-0407
Fax: (248) 855-1323
Website:
Map and Directions
Authorized official contact:
Name: Trivax, Geoffrey A Doctor of Medicine (MD)
Phone: (313) 538-3099

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1023043486
LBN Legal business name Mmg 1 Pc
DBA Doing business as Internal Medicine Specialists
Authorized official Trivax, Geoffrey A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated May 24th, 2021 - about 5 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 1023043486 NPPES
Michigan Other 110F375900 BLUE SHIELD GROUP
Michigan Other CG6179 BLUE SHIELD GROUP

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