MICHIGAN INFECTIOUS DISEASE CONSULTANTS PC (NPI# 1699934554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699934554 |
Entity Type | Organization |
Organization Name | MICHIGAN INFECTIOUS DISEASE CONSULTANTS PC |
Practice Address |
44200 Woodward Ave Suite 101 Pontiac MI 48341-5046 |
Mailing Address |
4920 Adams Pointe Ct Troy MI 48098-4111 |
Practice Telephone | 2482120678 |
Practice Fax Number | 2482120790 |
Mailing Telephone | 2482120678 |
Mailing Fax Number | 2482120790 |
Enumeration Date | 2008-06-05 |
Last Update Date | 2014-09-26 |
Authorized Official Name | SHAMLA A KALYAN (OWNER) |
Authorized Official Telephone | 2482120678 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCS | 440F306450 | 01 |
MI | BCN | 1106366471 | 01 |
MI | 1699934554 | 05 | |
MI | 4717980 | 05 | |
MI | BCBS | 1106366471 | 01 |
Street Address |
44200 WOODWARD AVE SUITE 101 |
City | PONTIAC |
State | MI |
Zip Code | 48341-5046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649262080 | Kay Alexa Robertson | Internal Medicine | 44200 Woodward Ave, Suite 205, Pontiac, MI 48341-5045 | 2005-08-22 |
1487195566 | Verna Renee Dubord | Registered Nurse | 44200 Woodward Ave, Suite 209, Pontiac, MI 48341-5045 | 2017-03-09 |
1366809519 | Pampered Child | In Home Supportive Care | 44200 Woodward Ave, Ste 205, Pontiac, MI 48341-5045 | 2016-01-19 |
1093184111 | Ashley Maxwell | Physical Therapist | 44200 Woodward Ave, Suite 11, Pontiac, MI 48341-5045 | 2015-09-18 |
1841566866 | Erin Mcevilly Grindling | Audiologist | 44200 Woodward Ave, Pontiac, MI 48341-5045 | 2012-03-23 |
1346537289 | Roy J Pullukat | Pediatrics | 44200 Woodward Ave, Suite 103, Pontiac, MI 48341-5045 | 2011-06-29 |
1528294824 | Obstetrics and Gynecology Center of Michigan, Pllc | Obstetrics & Gynecology | 44200 Woodward Ave, Suite 101, Pontiac, MI 48341-5045 | 2009-06-02 |
1043460512 | Michael Scott Hayes | Audiologist | 44200 Woodward Ave, Suite 200, Pontiac, MI 48341-5045 | 2008-09-22 |
1427234863 | Bloomfield Pharmacy North PC | Pharmacy | 44200 Woodward Ave, Ste 107, Pontiac, MI 48341-5045 | 2008-01-16 |
1154460830 | Kay Robertson Md PC | Pediatrics | 44200 Woodward Ave, Suite 205, Pontiac, MI 48341-5045 | 2007-02-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
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Taxonomy Code | 207RI0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Infectious Disease |
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255830121 | Infectious Disease Experts, Pllc | Internal Medicine | 5757 Springbrook Dr, Troy, MI 48098-5308 | 2018-02-06 |
1497205546 | Capitol Infectious Disease Associates | Internal Medicine | 6401 Pine Hollow Dr, East Lansing, MI 48823-9737 | 2016-10-12 |
1932517604 | Nkechi Mbanefo Azie | Internal Medicine | 1660 Pond Shore Dr, Ann Arbor, MI 48108-9565 | 2014-07-25 |
1780096032 | Quentin Doperalski | Internal Medicine | 560 W Mitchell St Ste 170, Petoskey, MI 49770-2276 | 2014-05-21 |
1215361373 | Kimberly A Zielke | Internal Medicine | 720 West Wackerly, Suite 111, Midland, MI 48640 | 2013-08-26 |
1235572462 | Erika Olson | Internal Medicine | Harper University Hospital, 3990 John R Street, 5 Hudson, Detroit, MI 48201 | 2013-04-08 |
1750648945 | Daniela Christina Pellegrini | Internal Medicine | 1700 Clinton St # At, Muskegon, MI 49442-5502 | 2012-04-12 |
1033442546 | Guided Care Community Services Corp. | Internal Medicine | 535 Griswold St, Suite 111-267, Detroit, MI 48226-3604 | 2009-09-15 |
1023246329 | Ashish Bhargava | Internal Medicine | 19251 Mack Ave Ste 333, Grosse Pointe Woods, MI 48236-2898 | 2009-06-24 |
1104099266 | Aneela Yaqoob | Internal Medicine | 3515 Parklawn Dr, Canton, MI 48188-2315 | 2008-04-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.