Healthcare Provider Details

I. General information

NPI: 1831425917
Provider Name (Legal Business Name): MORSI PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2009
Last Update Date: 10/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14600 KING RD STE A
RIVERVIEW MI
48193-7952
US

IV. Provider business mailing address

14600 KING RD STE A
RIVERVIEW MI
48193-7952
US

V. Phone/Fax

Practice location:
  • Phone: 734-479-7800
  • Fax: 734-479-7802
Mailing address:
  • Phone: 734-479-7800
  • Fax: 734-479-7802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301069991
License Number StateMI

VIII. Authorized Official

Name: DR. EHAB MORSI
Title or Position: PRESIDENT
Credential: MD
Phone: 734-479-7800