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Contact Information

DAVID DA COSTA, MD
2799 W GRAND BLVD
WP 3 NICU
DETROIT, MI48202-2608
 Phone: 313-916-3146
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DAVID DA COSTA · (Male)

NPI Number 1770542771
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2006
Last updated 07/20/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301080608
  • MI Medicaid 4764031
  • MI Other 350F361320 BCBSM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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