Provider Demographics
NPI:1790921138
Name:ALLERGY, ASTHMA & PULMONARY ASSOCIATES PC
Entity Type:Organization
Organization Name:ALLERGY, ASTHMA & PULMONARY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-588-2222
Mailing Address - Street 1:3216 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3507
Mailing Address - Country:US
Mailing Address - Phone:248-588-2222
Mailing Address - Fax:248-577-9999
Practice Address - Street 1:3216 ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-3507
Practice Address - Country:US
Practice Address - Phone:248-588-2222
Practice Address - Fax:248-577-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301068779207K00000X, 207R00000X, 208000000X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Multi-Specialty