Provider Demographics
NPI:1497842629
Name:ADEELA BEG, MD, PC
Entity Type:Organization
Organization Name:ADEELA BEG, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADEELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-615-7029
Mailing Address - Street 1:24001 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-2555
Mailing Address - Country:US
Mailing Address - Phone:248-615-7029
Mailing Address - Fax:248-615-7029
Practice Address - Street 1:24001 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-2555
Practice Address - Country:US
Practice Address - Phone:248-615-7029
Practice Address - Fax:248-615-7031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301071088208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI30435OtherHEALTH PLAN OF MICHIGAN
MI7853898OtherCIGNA
MIAETNAOther7134367
MIP114948OtherBLUE CARE NETWORK
MI143667OtherGREAT LAKE HEALTH PLAN
MI3506346481OtherBCBS
MIH27113Medicare UPIN