Allergy and Asthma Clinic of Michigan PLLC
Organization Active NPI Allergy Physician · Southgate, MI
NPI 1346774239 · NPPES record last updated Apr 18, 2017
Key facts
- NPI
- 1346774239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy Physician 207KA0200X
- License
- 5315075287 (MI)
- Legal business name
- ALLERGY AND ASTHMA CLINIC OF MICHIGAN PLLC
- Practice address
- 12811 Northline Rd
Southgate, MI 48195-1109 - Phone
- (734) 283-4600
- Fax
- (734) 283-4683
- NPI assigned
- Apr 18, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Ali Saad, D.O.
- Title
- Doctor/Partnership
- Phone
- (734) 283-4600
Practitioners 3
-
Ali Saad, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170509001852 | MI | Part B Supplier - Clinic/Group Practice | 4981981586 |
Receives reassigned benefits from 1 practitioner Practice locations: Monroe, MI; Port Huron, MI; Southgate, MI |
National Provider Directory
Locations
12811 Northline Rd
Southgate, MI 48195
Phone (734) 283-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician |
207KA0200X | 5315075287 | MI | Yes |
Addresses
Primary practice location
12811 Northline Rd
Southgate, MI 48195-1109
Mailing address
12811 Northline Rd
Southgate, MI 48195-1109
Phone (734) 283-4600
Other providers in Southgate, MI
- Celia K Allen
- Channel Elaine Allen
- Jalon Allen
- Lashuna Allen
- Ryan Allen
- Dennis Allison
- Brianna Allor
- Jessica Allsbrooks
- Jwaher Nasr Almakali
- Nada Almasri
All providers in Southgate, MI · Allergy Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.