Provider Demographics
NPI:1649380700
Name:FALIT, HARVEY H (MD)
Entity Type:Individual
Prefix:
First Name:HARVEY
Middle Name:H
Last Name:FALIT
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 1:505 E HURON ST
Mailing Address - Street 2:SUITE # 305 A
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-1573
Mailing Address - Country:US
Mailing Address - Phone:734-662-1668
Mailing Address - Fax:734-677-1590
Practice Address - Street 1:505 E HURON ST
Practice Address - Street 2:SUITE # 305 A
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1573
Practice Address - Country:US
Practice Address - Phone:734-662-1668
Practice Address - Fax:734-677-1590
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIG205522084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIF06412Medicare UPIN
MI0815306Medicare ID - Type Unspecified