Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | D16996 | MI |
NPI | 1952397093 |
---|---|
Provider Name | Dr. Arvind Gulati |
First Address | Novi, MI 48375-5442 |
Second Address | Novi, MI 48375-5442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2005 |
Last Update Date | 22/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11293026 | CAQH NUMBER (01) | MI |
1326188 | UNITED CONCORDIA (01) | MI |
16057 | M-CARE (01) | MI |
7931276 | AETNA (01) | MI |
97-5-63-0106-0 | BC/BS OF MI (01) | MI |
U86995 | (02) | MI |