Aegis Anesthesia, PLC
Organization Active NPI Anesthesiology Physician · Southfield, MI
NPI 1922286335 · NPPES record last updated Jun 13, 2008
Key facts
- NPI
- 1922286335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 5101010411 (MI)
- Legal business name
- AEGIS ANESTHESIA, PLC
- Practice address
- 23901 Lahser Rd
Southfield, MI 48033-6035 - Phone
- (248) 357-3360
- NPI assigned
- Feb 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Nancy Je Houghton, D.O.
- Title
- Owner
- Phone
- (734) 479-0748
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | 5101010411 | MI | Yes |
Addresses
Primary practice location
23901 Lahser Rd
Southfield, MI 48033-6035
Mailing address
13829 Hamilton St
Riverview, MI 48193-7841
Phone (734) 479-0748
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050F355980 | Other | MI | BCBSMI PIN |
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All providers in Southfield, MI · Anesthesiology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.