WOODWARD GASTROENTEROLOGY PC – NPI #1104247899
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.

WOODWARD GASTROENTEROLOGY PC is a provider located in BERKLEY, MI. NPPES has assigned the NPI number 1104247899 to WOODWARD GASTROENTEROLOGY PC on December 23, 2013. 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 12 years ago on Mar 07, 2014. 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 WOODWARD GASTROENTEROLOGY PC below.

NPI Profile for
WOODWARD GASTROENTEROLOGY PC

NPI Number
1104247899
Enumeration Date

(more than 12 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
WOODWARD GASTROENTEROLOGY PC
Primary location
1695 12 MILE RD
SUITE 220
BERKLEY, MI 48072-2182
Phone: (248) 229-8354 Fax:
Mailing address
1257 CLUB DR
BLOOMFIELD HILLS, MI 48302-0907
Phone: (248) 229-8354 Fax:
Organization Subpart
No
Authorized Official
TUSAR DESAI
OWNER
Phone: (248) 229-8354
Updated
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 4301044285

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.