Organization Active NPI

Allergy and Asthma Center of Troy, PC

  • Allergy & Immunology Physician
  • Troy, MI
National Provider Identifier
1487736039
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY AND ASTHMA CENTER OF TROY, PC
Practice address
4792 Rochester Rd
Troy, MI 48085-4989
Phone
(248) 528-9010
Fax
(248) 528-2162
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Asadollah Shahideh, M.D.NPI 1275514127
Title
Owner
Phone
(248) 528-9010

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

4792 Rochester Rd
Troy, MI 48085-4989

Mailing address

4792 Rochester Rd
Troy, MI 48085-4989
Phone (248) 528-9010

Other identifiers 1

IdentifierTypeStateIssuer
1094629MedicaidMI

National Provider Directory

National Provider Directory

Locations

4792 Rochester Rd
Troy, MI 48085
Phone (248) 528-3720

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1487736039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4792 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854989",
            "telephone_number": "248-528-9010",
            "fax_number": "248-528-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4792 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854989",
            "telephone_number": "248-528-9010",
            "fax_number": "248-528-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CENTER OF TROY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SHAHIDEH",
        "authorized_official_first_name": "ASADOLLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-528-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1094629",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.