Healthcare Provider Details

I. General information

NPI: 1912097130
Provider Name (Legal Business Name): PEDIATRIC & ADOLESCENT CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41400 DEQUINDRE RD SUITE 121
STERLING HEIGHTS MI
48314-3763
US

IV. Provider business mailing address

41400 DEQUINDRE RD SUITE 121
STERLING HEIGHTS MI
48314-3763
US

V. Phone/Fax

Practice location:
  • Phone: 586-731-1500
  • Fax: 586-731-1363
Mailing address:
  • Phone: 586-731-1500
  • Fax: 586-731-1363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARUNA J. PAREKH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 586-731-1500