Provider Demographics
NPI:1104045194
Name:NATHAN BINING MD PLLC
Entity Type:Organization
Organization Name:NATHAN BINING MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BINING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-522-7777
Mailing Address - Street 1:29526 6 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-4559
Mailing Address - Country:US
Mailing Address - Phone:734-522-7777
Mailing Address - Fax:
Practice Address - Street 1:29526 6 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-4559
Practice Address - Country:US
Practice Address - Phone:734-522-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301071275207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP31140Medicare ID - Type Unspecified
MIH58232Medicare UPIN