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Contact Information

TOLIA PEDIATRIC GI CENTER PC
22250 PROVIDENCE DR
SUITE 400
SOUTHFIELD, MI48075-4825
 Phone: 248-865-0030
 Fax: 248-865-0034
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TOLIA PEDIATRIC GI CENTER PC

NPI # 1972697688
LBN Legal business name TOLIA PEDIATRIC GI CENTER PC
Authorized official VASUNDHARA TOLIA - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 06/20/2008 - About 18 years ago
Identifiers
MI License # 4301037974
MI Medicaid 4909504
MI Other 3506356221 BCBS BCN
MI Other 350F338410 BCBS BCN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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