Provider Demographics
NPI:1083111462
Name:BURKAT, ANDRZEJ JOZEF (MD)
Entity Type:Individual
Prefix:
First Name:ANDRZEJ
Middle Name:JOZEF
Last Name:BURKAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39322 PINEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-2428
Mailing Address - Country:US
Mailing Address - Phone:630-449-2906
Mailing Address - Fax:
Practice Address - Street 1:39322 PINEBROOK DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-2428
Practice Address - Country:US
Practice Address - Phone:630-449-2906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program