| Igor Paris Md Pc | |
|
6555 W Maple Rd West Bloomfield MI 48322-4926 | |
| (248) 592-2656 | |
| (248) 592-9044 |
| Full Name | Igor Paris Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6555 W Maple Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Igor Paris (OWNER) |
| Authorized Official Contact | 2485922656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Igor Paris Md Pc Po Box 3158 Farmington Hills MI 48333-3158 Ph: (248) 592-2656 | Igor Paris Md Pc 6555 W Maple Rd West Bloomfield MI 48322-4926 Ph: (248) 592-2656 |
| NPI Number | 1750556783 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Medicare PECOS PAC ID | 1759411168 |
|---|---|
| Medicare Enrollment ID | O20100611000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750556783 | NPI | - | NPPES |
| 4385399 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | IP066386 (Michigan) | Primary |
| Provider Name | Igor Paris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336225507 PECOS PAC ID: 5890825202 Enrollment ID: I20100611000135 |
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