Active NPI
Allergy and Asthma Center of Troy, PC
- Allergy & Immunology Physician
- Troy, MI
National Provider Identifier
1487736039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Asadollah Shahideh, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1094629 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Allergy & Immunology Physician
- Lake Orion, MI
- NPI 1811996218
Allergy & Immunology
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.