Michigan Digestive Associates PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MICHIGAN DIGESTIVE ASSOCIATES PC

Practice address

43368 Woodward Ave
Suite 104
Bloomfield Hills, MI 48302-5051

Phone

(248) 758-0730

Fax

(248) 758-2060

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Mehdi H Balucm, MD

Title

Owner

Phone

(248) 758-0730

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871664136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43368 WOODWARD AVE",
            "address_2": "SUITE 104",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025051",
            "telephone_number": "248-758-0730",
            "fax_number": "248-758-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43368 WOODWARD AVE",
            "address_2": "SUITE 104",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025051",
            "telephone_number": "248-758-0730",
            "fax_number": "248-758-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN DIGESTIVE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALUCM",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-758-0730",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Consulting and Diagnostics LLC
• Michigan Diagnostic Services, Inc
• Michigan Diagnostic Services, Inc
• Michigan Diagnostic Services, Inc
• Michigan Diagnostic Services, Inc
• Michigan Expert Care and Staffing LLC
• Michigan Institute of Performance and Health
• Michigan Internal Medicine Center PC
• Michigan Light Therapy PC
• Michigan Mobile Medicine, PLLC

• Gastroenterology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.