Provider Demographics
NPI:1821466780
Name:ANESTHESIA CONSULTANTS OF MICHIGAN, PLLC
Entity Type:Organization
Organization Name:ANESTHESIA CONSULTANTS OF MICHIGAN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HURAIBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-344-6090
Mailing Address - Street 1:11650 BELLEVILLE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48111-3380
Mailing Address - Country:US
Mailing Address - Phone:734-344-6090
Mailing Address - Fax:248-796-0767
Practice Address - Street 1:11650 BELLEVILLE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:BELLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48111-3380
Practice Address - Country:US
Practice Address - Phone:734-344-6090
Practice Address - Fax:248-796-0767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301066286207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty