Michael H. Eidelman M.D. P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301031934 Issued in MI

Legal business name

MICHAEL H. EIDELMAN M.D. P.C.

Practice address

30335 W 13 Mile Rd
Suite 100
Farmington Hills, MI 48334-2262

Phone

(248) 626-6500

Fax

(248) 855-0190

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael Hugh Eidelman, M.D.

Title

Owner

Phone

(248) 626-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1770815771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30335 W 13 MILE RD",
            "address_2": "SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342262",
            "telephone_number": "248-626-6500",
            "fax_number": "248-855-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30335 W 13 MILE RD",
            "address_2": "SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342262",
            "telephone_number": "248-626-6500",
            "fax_number": "248-855-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H. EIDELMAN M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "EIDELMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-626-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301031934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1086690",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.