Provider Demographics
NPI:1992970370
Name:ALLERGY AND ASTHMA CLINIC OF EAST LANSING, PLLC.
Entity type:Organization
Organization Name:ALLERGY AND ASTHMA CLINIC OF EAST LANSING, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VASIF
Authorized Official - Middle Name:CUNEYT
Authorized Official - Last Name:KALFA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-324-7020
Mailing Address - Street 1:612 W LAKE LANSING RD
Mailing Address - Street 2:100
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8528
Mailing Address - Country:US
Mailing Address - Phone:517-324-7020
Mailing Address - Fax:
Practice Address - Street 1:2045 ASHER CT STE 200
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8444
Practice Address - Country:US
Practice Address - Phone:517-324-7020
Practice Address - Fax:517-324-7021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301080350261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1992970370OtherNPPES