NPI 1972604114 · live from the CMS NPI Registry
Seymoure Balaj
Podiatrist, Primary Podiatric Medicine in Southfield, MI. National Provider Identifier 1972604114, active.
NPI record
| NPI | 1972604114 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Primary Podiatric Medicine 213EP1101X |
| Practice location | 25520 Karen Street, 27600 Northwestern Highway Suite 260, Southfield, MI 48034 |
| Practice phone | 248-355-9300 |
| Mailing address | 25520 Karen St, Oak Park, MI 48237 |
| Enumerated | September 26, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
| Other names | Seymoure Balaj |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Primary Podiatric Medicine primary | 213EP1101X | 5901400060 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.