Provider Demographics
NPI:1083601082
Name:METRO PARTNERS IN WOMENS HEALTH, PC
Entity Type:Organization
Organization Name:METRO PARTNERS IN WOMENS HEALTH, PC
Other - Org Name:METRO PARTNERS IN WOMEN'S HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROZE
Authorized Official - Middle Name:SELMA
Authorized Official - Last Name:KADRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-662-4386
Mailing Address - Street 1:44000 W 12 MILE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2647
Mailing Address - Country:US
Mailing Address - Phone:248-662-4386
Mailing Address - Fax:248-319-5963
Practice Address - Street 1:44000 W 12 MILE RD STE 205
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2647
Practice Address - Country:US
Practice Address - Phone:248-662-4386
Practice Address - Fax:248-319-5963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI160H22100OtherBCBS
MI160H22100OtherBCBS