Provider Demographics
NPI:1770582595
Name:ALLERGY ASTHMA CARE, PC
Entity type:Organization
Organization Name:ALLERGY ASTHMA CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMEDI
Authorized Official - Middle Name:N
Authorized Official - Last Name:SAVLIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-335-0200
Mailing Address - Street 1:43700 WOODWARD AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5061
Mailing Address - Country:US
Mailing Address - Phone:248-335-0200
Mailing Address - Fax:248-335-3760
Practice Address - Street 1:43700 WOODWARD AVE STE 205
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5061
Practice Address - Country:US
Practice Address - Phone:248-335-0200
Practice Address - Fax:248-335-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMS046749207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI103344OtherPREFERRED CHOICES
MI2584197Medicaid
MI103344OtherCARE CHOICES
MI4091456OtherAETNA
MIB34532OtherHAP
MI103344OtherPREFERRED CHOICES
MI=========OtherPPOM
MI2584197Medicaid