Healthcare Provider Details

I. General information

NPI: 1003118183
Provider Name (Legal Business Name): CARING DOCTORS AT HOME PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2010
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29600 NORTHWESTERN HIGHWAY SUITE 106
SOUTHFIELD MI
48034-1376
US

IV. Provider business mailing address

29600 NORTHWESTERN HIGHWAY SUITE 106
SOUTHFIELD MI
48034-1376
US

V. Phone/Fax

Practice location:
  • Phone: 313-258-4855
  • Fax:
Mailing address:
  • Phone: 313-258-4855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301028752
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number4301028752
License Number StateMI

VIII. Authorized Official

Name: DR. HENRY A SHEVITZ
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 313-258-4855