Provider Demographics
NPI:1649350885
Name:ACUTE CARE INTERNISTS PC
Entity type:Organization
Organization Name:ACUTE CARE INTERNISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIHAELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUPU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-291-9500
Mailing Address - Street 1:23300 ECORSE ROAD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-1768
Mailing Address - Country:US
Mailing Address - Phone:313-291-9500
Mailing Address - Fax:313-291-6694
Practice Address - Street 1:18181 OAKWOOD BLVD
Practice Address - Street 2:STE 208
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124
Practice Address - Country:US
Practice Address - Phone:313-271-5670
Practice Address - Fax:313-271-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0H24825OtherBCBSM
MI0M82540Medicare PIN