My Kids Doc-southfield
Pediatric Adolescent Medicine
My Kids Doc-southfield is a Southfield, Michigan based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
29255 Northwestern Hwy, Suite 100, Southfield, Michigan - 48034-1018. They can be contacted on phone at
248-358-2410 and fax number 248-358-2470.
NPI number (Unique professional ID) for My Kids Doc-southfield is
1730187840 which was assigned by NPPES on 12 Jul, 2005 and it was last updated on 29 Apr, 2009.
My Kids Doc-southfield license number is
PB047877 for Pediatrics Adolescent Medicine (2080A0000X) in Michigan.
My Kids Doc-southfield specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
My Kids Doc-southfield basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | My Kids Doc-southfield |
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Business Address:
My Kids Doc-southfield address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 29255 Northwestern Hwy, Suite 100
Southfield, MI, 48034-1018
United States |
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| Phone Number : | 248-358-2410 |
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| Fax Number : | 248-358-2470 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730187840 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 12 Jul, 2005 |
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| Last Updated On : | 29 Apr, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Pamela Berry |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER/PHYSICIAN |
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| Phone Number : | 248-358-2410 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for My Kids Doc-southfield are as mentioned. Primary taxonomy code for My Kids Doc-southfield is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | PB047877 | MI |
Legacy Identifiers:
Other legacy medical identifiers of My Kids Doc-southfield such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 350F300680 | Other | MI | BCBS GROUP |
| 1730187840 | MEDICAID | MI | |
| 350F300680 | Other | MI | BCN GROUP |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 33321, Drawer 117
Detroit, MI, 48232-5321
United States |
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| Phone Number : | 248-358-2410 |
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| Fax Number : | 248-358-2470 |
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Business Location:
Patients can refer following map for directions to
My Kids Doc-southfield practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.