Healthcare Provider Details

I. General information

NPI: 1790921138
Provider Name (Legal Business Name): ALLERGY, ASTHMA & PULMONARY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2009
Last Update Date: 01/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3216 ROCHESTER RD
ROYAL OAK MI
48073-3507
US

IV. Provider business mailing address

3216 ROCHESTER RD
ROYAL OAK MI
48073-3507
US

V. Phone/Fax

Practice location:
  • Phone: 248-588-2222
  • Fax: 248-577-9999
Mailing address:
  • Phone: 248-588-2222
  • Fax: 248-577-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301068779
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301068779
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number4301068779
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number4301068779
License Number StateMI

VIII. Authorized Official

Name: DOSHI DEVANG
Title or Position: PRESIDENT
Credential: MD
Phone: 248-588-2222