NPI 1598856817 · live from the CMS NPI Registry
Canton Health Associates
Pediatrics, Adolescent Medicine in Canton, MI. National Provider Identifier 1598856817, active.
NPI record
| NPI | 1598856817 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 1600 S Canton Center Rd, Suite 200, Canton, MI 48188 |
| Practice phone | 734-398-8675 |
| Enumerated | September 28, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Suzanne Abou-Elkhair, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 430166403 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.