Healthcare Provider Details

I. General information

NPI: 1003868233
Provider Name (Legal Business Name): ASTHMA ALLERGY CARE CENTERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 S CASS ST SUITE 1B
BATTLE CREEK MI
49017-2331
US

IV. Provider business mailing address

49 S CASS ST SUITE 1B
BATTLE CREEK MI
49017-2331
US

V. Phone/Fax

Practice location:
  • Phone: 269-969-8920
  • Fax: 269-969-8921
Mailing address:
  • Phone: 269-969-8920
  • Fax: 269-969-8921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LOKESH EDARA
Title or Position: OWNER
Credential: MD
Phone: 269-969-8920