Provider Demographics
NPI:1114322559
Name:KIDS FIRST PEDIATRICS PLLC
Entity Type:Organization
Organization Name:KIDS FIRST PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMI
Authorized Official - Middle Name:ANNA
Authorized Official - Last Name:HATTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-397-8031
Mailing Address - Street 1:350 E 9 MILE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:HAZEL PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48030-1854
Mailing Address - Country:US
Mailing Address - Phone:248-397-8031
Mailing Address - Fax:248-397-8320
Practice Address - Street 1:350 E 9 MILE RD STE 1
Practice Address - Street 2:
Practice Address - City:HAZEL PARK
Practice Address - State:MI
Practice Address - Zip Code:48030-1854
Practice Address - Country:US
Practice Address - Phone:248-397-8031
Practice Address - Fax:248-397-8320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty