Audberto Cesar Antonini, M.D.
Individual provider Active NPI Internal Medicine Physician · Portage, MI
NPI 1457548729 · NPPES record last updated Oct 1, 2007
Key facts
- NPI
- 1457548729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301062716 (MI)
- Practice address
- 7901 Angling Rd
Portage, MI 49024-0714 - Phone
- (269) 226-8253
- Fax
- (269) 226-8190
- NPI assigned
- Oct 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301062716 | MI | Yes |
Addresses
Primary practice location
7901 Angling Rd
Portage, MI 49024-0714
Mailing address
203 Concord Dr
Canton, MI 48188-5284
Phone (734) 398-5412
Other providers in Portage, MI
- Andrew Hamilton DDS PLLC
- Jackline Andrew
- Melinda Mae Andrews
- Susan C. Andrews
- Ankle and Foot Center PC
- Apollo Medical Group of Michigan PLLC
- Kara Applegate
- Arbor Woods Home Health Care, Inc.
- Ardis Pharma LLC
- David R Areaux
All providers in Portage, MI · Internal Medicine 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 Oct 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.