Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301041702 | MI |
N | 2080P0210X | Pediatric Nephrologist | 4301041702 | MI |
NPI | 1750394425 |
---|---|
Provider Name | Helen Alleata Byrd |
First Address | Detroit, MI 48201 |
Second Address | Detroit, MI 48201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4739807 | (05) | MI |
F10595 | (02) |