Individual provider Active NPI

Louza Alqadhi, PA-C

  • Physician Assistant
  • Livonia, MI
National Provider Identifier
1871894196
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005857 Issued in MI
Practice address
17197 N Laurel Park Dr
Suite 161
Livonia, MI 48152-2680
Phone
(734) 338-8300
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005857 MI Primary

Addresses

Primary practice location

17197 N Laurel Park Dr
Suite 161
Livonia, MI 48152-2680

Mailing address

17197 N Laurel Park Dr
Suite 161
Livonia, MI 48152-2680
Phone (734) 338-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1871894196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17197 N LAUREL PARK DR",
            "address_2": "SUITE 161",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522680",
            "telephone_number": "734-338-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17197 N LAUREL PARK DR",
            "address_2": "SUITE 161",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522680",
            "telephone_number": "734-338-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALQADHI",
        "first_name": "LOUZA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.