Organization Active NPI

Allergy & Asthma Management Center PC

  • Allergy & Immunology Physician
  • Novi, MI
National Provider Identifier
1528152246
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
RB069790 Issued in MI
Legal business name
ALLERGY & ASTHMA MANAGEMENT CENTER PC
Practice address
26850 Providence Pkwy
Suite 310
Novi, MI 48374-1209
Phone
(248) 380-9630
Fax
(248) 380-3459
NPI assigned
Oct 3, 2006
Last updated
Jan 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Rola Bokhari Panza, MD
Title
President
Phone
(248) 478-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X RB069790 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy
Suite 310
Novi, MI 48374-1209

Mailing address

26850 Providence Pkwy
Suite 310
Novi, MI 48374-1209
Phone (248) 380-9630

Other identifiers 4

IdentifierTypeStateIssuer
C5076OtherMIMCARE
104137425MedicaidMI
114121OtherMACARE CHOICES
030F320750OtherMIBCBS OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

8781 Reliable Pkwy
Chicago, IL 60686

26850 Providence Pkwy
Ste 310
Novi, MI 48374
Phone (248) 380-9630

47601 Grand River Ave
Ste B237
Novi, MI 48374
Phone (248) 380-9630

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1528152246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 310",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741209",
            "telephone_number": "248-380-9630",
            "fax_number": "248-380-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 310",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741209",
            "telephone_number": "248-380-9630",
            "fax_number": "248-380-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA MANAGEMENT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "BOKHARI PANZA",
        "authorized_official_first_name": "ROLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-478-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "RB069790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C5076",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104137425",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "114121",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "030F320750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.