Active NPI
Allergy and Asthma Physicians of Commerce Township
- Allergy & Immunology Physician
- Mount Clemens, MI
National Provider Identifier
1467656009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 5101015017
- Legal business name
- ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP
- Practice address
- 1030 Harrington St Ste 301
Mount Clemens, MI 48043-2967 - Phone
- (586) 961-6060
- Fax
- (586) 961-6061
- NPI assigned
- Jun 14, 2007
- Last updated
- Sep 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pulin Pravin Patel, D.O.
- Title
- Owner/President
- Phone
- (586) 961-6060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 5101015017 | MI | Primary |
Addresses
Primary practice location
1030 Harrington St Ste 301
Mount Clemens, MI 48043-2967
Mailing address
PO Box 665
Birmingham, MI 48012-0665
Phone (586) 961-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8391 Commerce Rd
Ste 102
Commerce Twp, MI 48382
Phone (248) 363-3777
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Allergy & Immunology Physician
- Mount Clemens, MI
- NPI 1710950951
-
- Medical Physician Assistant
- Commerce Township, MI
- NPI 1023616687
-
- Physician Assistant
- Mount Clemens, MI
- NPI 1477239150
-
- Physician Assistant
- Sterling Heights, MI
- NPI 1194305490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536537600000",
"number": "1467656009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 665",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480120665",
"telephone_number": "586-961-6060",
"fax_number": "586-961-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 HARRINGTON ST STE 301",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432967",
"telephone_number": "586-961-6060",
"fax_number": "586-961-6061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2018-09-10",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "PULIN",
"authorized_official_middle_name": "PRAVIN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "586-961-6060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MI",
"license": "5101015017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.