NPI 1295893899 · live from the CMS NPI Registry
Roberto Benejam, MD
Pediatrics, Adolescent Medicine in Dearborn, MI. National Provider Identifier 1295893899, active.
NPI record
| NPI | 1295893899 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 13700 Michigan Ave, Dearborn, MI 48126 |
| Practice phone | 313-581-8442 |
| Enumerated | December 5, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 4301053915 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.