Detlef Ehling MD, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A66608 Issued in CA

Legal business name

DETLEF EHLING MD, INC.

Practice address

2485 High School Ave
Suite 208
Concord, CA 94520-1819

Phone

(925) 682-0390

Fax

(925) 682-0391

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Detlef Ehling, M.D.

Title

President

Phone

(925) 682-0390

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Aye T Khyne, MD

  • Infectious Disease Physician
  • Concord, CA
  • NPI 1659533982
  NPD (past)
• Nimisha Mishra-Shukla, MD

  • Infectious Disease Physician
  • Walnut Creek, CA
  • NPI 1487843942
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1689846552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE",
            "address_2": "SUITE 208",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201819",
            "telephone_number": "925-682-0390",
            "fax_number": "925-682-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE",
            "address_2": "SUITE 208",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201819",
            "telephone_number": "925-682-0390",
            "fax_number": "925-682-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETLEF EHLING MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "EHLING",
        "authorized_official_first_name": "DETLEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-682-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A66608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CNC 3005001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Deshera
• Melanie Janet Deshields
• Rajanae Deshields
• Samuel Paul Desmith
• Caroline Desousa
• Barbara Randall Devane, D.O
• Juroid Taylor Devaull III
• Emily Develle
• Naomi Devenecia
• Meera Devine

• Medical Specialty Clinic/Center in Concord, CA
• Providers in Concord, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.