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Contact Information

HARRY A KEZELIAN JR D P M P C
29877 TELEGRAPH RD
SUITE 302
SOUTHFIELD, MI48034-1332
 Phone: 248-354-0057
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for HARRY A KEZELIAN JR D P M P C

NPI # 1568646404
LBN Legal business name HARRY A KEZELIAN JR D P M P C
Authorized official HARRY KEZELIAN - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/27/2007
Last updated 03/14/2008 - About 18 years ago
Identifiers
MI License # 5901001098
MI Medicaid 3113830
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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