Individual
DR. DEEPA DIXIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
37300 GARFIELD RD, SUITE B, CLINTON TOWNSHIP, MI 48036-2051
(586) 286-0550
(586) 263-0735
Mailing address
37300 GARFIELD RD, SUITE B, CLINTON TOWNSHIP, MI 48036-2051
(586) 286-0550
(586) 263-0735
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
DD041485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0305014821
BLUE CROSS BLUE SHIELD MI
MI
05
—
1765213
—
MI
01
—
861098320
CIGNA
MI
01
—
A74697
HEALTH ALLIANCE PLAN MI
MI
01
—
P101616
PREFERRED/CARE CHOICES
MI
Enumeration date
10/17/2005
Last updated
10/04/2011
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