Provider Demographics
NPI:1871668392
Name:ASHOK BOINPALLY MD PC
Entity Type:Organization
Organization Name:ASHOK BOINPALLY MD 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:
Authorized Official - Last Name:BOINPALLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-927-3295
Mailing Address - Street 1:6001 W OUTER DR
Mailing Address - Street 2:STE 440
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-2614
Mailing Address - Country:US
Mailing Address - Phone:313-927-3295
Mailing Address - Fax:313-340-1520
Practice Address - Street 1:6001 W OUTER DR
Practice Address - Street 2:STE 440
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2614
Practice Address - Country:US
Practice Address - Phone:313-927-3295
Practice Address - Fax:313-340-1520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty