MEDICARE: PEDIATRIC & ADOLESCENT CARE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

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

Provider Business Mailing Address
First Line	:	41400 DEQUINDRE RD
Second Line	:	SUITE 121
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-3763
Country	:	US
Telephone Number	:	586-731-1500
Fax Number	:	586-731-1363

Provider Business Practice Location Address
First Line	:	41400 DEQUINDRE RD
Second Line	:	SUITE 121
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-3763
Country	:	US
Telephone Number	:	586-731-1500
Fax Number	:	586-731-1363

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARUNA J. PAREKH
Credential	:	M.D.
Telephone Number	:	586-731-1500

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	08/22/2020

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