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NPI 1114270519

NPI 1114270519 : ENDOCRINE AND METABOLIC DISORDERS CENTER PC : SHELBY TWP, MI

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General NPI Number Information
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    NPI Number           |    1114270519
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    Entity Type          |    Organization 
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    Legal Business Name  |    ENDOCRINE AND METABOLIC DISORDERS CENTER PC 
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Dates
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    Enumeration Date     |    10/23/2012
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    Last Update Date     |    11/11/2025
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Provider Practice Location Address
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    Address Line         |    2177 AUBURN RD 
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    City                 |    SHELBY TWP
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    State                |    MI
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    Zip                  |    48317-3806
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    Country              |    US
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    Telephone            |    586-737-7520
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    Fax                  |    586-737-7591
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Provider Business Mailing Address
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    Address Line         |    2177 AUBURN RD 
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    City                 |    SHELBY TWP
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    State                |    MI
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    Zip                  |    48317-3813
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    Country              |    US
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    Telephone            |    586-737-7520
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    Fax                  |    586-737-7591
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Authorized Official
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    Title or Position    |    OWNER/MEDICAL DIRECTOR
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    Name                 |     ASHISH  VERMA 
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    Credential           |    MD
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    Telephone            |    586-737-7520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    4301066588
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    License Number State |    MI
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