University Physician Group, NPI 1447299797
Internal Medicine Physician in Detroit, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1447299797
NPI Entity Type Organization
Provider Name University Physician Group
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 4201 St. Antoine St., Detroit, MI, US
Provider Mailing Address 400 Mack Ave Ste 2, Detroit, MI, US, 482012136
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Diana Goode
Official Position AUTHORIZED OFFICIAL
Phone 313-448-9006

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207R00000X

Taxonomy Name Internal Medicine Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

Description A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Other Organization Name

Wayne State University Physician Group
Doing Business As

Business Address

University Physician Group
4201 St. Antoine St.

Detroit, MI, US

Phone: 313-745-4525

Mailing Address

University Physician Group
400 Mack Ave Ste 2
Detroit, MI, US
ZIP 482012136
Phone: 313-448-9006

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
23D1091632 MI CLIA WAIVER 01
0P30630 MI MEDICARE GROUP # 01
23D0701622 MI CLIA - PPM (MODERATE COMPLEXITY) 01
23D0913773 MI CLIA - MICROSCOPY OBGYN 01
23D1065430 MI CLIA - WAIVER OTO 01
23D0685178 MI CLIA COMPLIANCE DERM 01
23D1040688 MI CLIA - MICROSCOPY UROLOGY 01
0H22832 MI BCBSM GROUP NUMBER 01
0P32120 MI MEDICARE GROUP # - MD/DO FEE LOCALITY 99 01
23D1080033 MI CLIA - MICROSCOPY FAM MED 01
23D0701623 MI CLIA - MICROSCOPY INT MED 01
23D1019738 MI CLIA - MICROSCOPY INT MED 01
23D2028433 MI CLIA - MICROSCOPY FAM MED 01
23D2054540 MI CLIA REGISTRATION (HIGH COMPLEXITY) 01
23D0650703 MI CLIA COMPLIANCE DERM 01
23D1086626 MI CLIA - WAIVER OTO 01
23D1096986 MI CLIA MICROSCOPY 01

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