Provider Demographics
NPI:1851552244
Name:FRIENDLY VISITING PHYSICIANS PC
Entity Type:Organization
Organization Name:FRIENDLY VISITING PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:S
Authorized Official - Last Name:KARNIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-366-2665
Mailing Address - Street 1:19940 CONANT ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-1335
Mailing Address - Country:US
Mailing Address - Phone:313-366-2665
Mailing Address - Fax:313-366-2666
Practice Address - Street 1:19940 CONANT ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-1335
Practice Address - Country:US
Practice Address - Phone:313-366-2665
Practice Address - Fax:313-366-2666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301034247207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGMedicare PIN