Provider Demographics
NPI:1013367473
Name:EAST & WEST PHYSICIANS PC
Entity Type:Organization
Organization Name:EAST & WEST PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ADU-BENIAKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-951-2296
Mailing Address - Street 1:20905 GREENFIELD RD STE 608
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5355
Mailing Address - Country:US
Mailing Address - Phone:248-951-2296
Mailing Address - Fax:248-951-2315
Practice Address - Street 1:20905 GREENFIELD RD STE 608
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5355
Practice Address - Country:US
Practice Address - Phone:248-951-2296
Practice Address - Fax:248-951-2315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-16
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty