1699957472 NPI number — KARMA INTERNISTS, PC

Table of content: (NPI 1699957472)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699957472 NPI number — KARMA INTERNISTS, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KARMA INTERNISTS, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699957472
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/13/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
48831 VENETO DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHVILLE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48167-9385
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-585-4545
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2221 LIVERNOIS RD
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48083-1603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-250-9482
Provider Business Practice Location Address Fax Number:
248-250-9483
Provider Enumeration Date:
12/03/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SAINI
Authorized Official First Name:
ANVITA
Authorized Official Middle Name:
BITTA
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
313-585-4545

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  4301085474 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)