DIGESTIVE DISEASE CLINIC PC – NPI #1043572563
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

DIGESTIVE DISEASE CLINIC PC is a provider located in LIVONIA, MI. NPPES has assigned the NPI number 1043572563 to DIGESTIVE DISEASE CLINIC PC on June 11, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 14 years ago on Oct 12, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIGESTIVE DISEASE CLINIC PC below.

NPI Profile for
DIGESTIVE DISEASE CLINIC PC

NPI Number
1043572563
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIGESTIVE DISEASE CLINIC PC
Primary location
18320 FARMINGTON RD
LIVONIA, MI 48152
Phone: (248) 476-6100 Fax: (248) 471-6452
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MOWAFAK ASBAHI
PHYSICIAN OWNER
Phone: (248) 476-6100
Updated
Identifiers

Identifiers for DIGESTIVE DISEASE CLINIC PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI102699892
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
MI 4301033455

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.