| Michigan Infection Specialists Pllc | |
|
7815 E Jefferson Ave Suite 2c Detroit MI 48214-3704 | |
| (313) 499-4255 | |
| (313) 499-4913 |
| Full Name | Michigan Infection Specialists Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7815 E Jefferson Ave, Detroit, Michigan |
| Authorized Official Name and Position | Asgar Boxwalla (PRESIDENT) |
| Authorized Official Contact | 3134994255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Infection Specialists Pllc 7815 E Jefferson Ave Suite 2c Detroit MI 48214-3704 Ph: (313) 499-4255 | Michigan Infection Specialists Pllc 7815 E Jefferson Ave Suite 2c Detroit MI 48214-3704 Ph: (313) 499-4255 |
| NPI Number | 1780631671 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 10/12/2007 |
| Medicare PECOS PAC ID | 1052388519 |
|---|---|
| Medicare Enrollment ID | O20040914000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780631671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Asgar A Boxwalla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740248541 PECOS PAC ID: 4587631049 Enrollment ID: I20040914000633 |
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