Organization
HIGHLAND PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARDESHIR IRANI MD (PHYSICIAN)
(586) 773-1823
Entity
Organization
Contact information
Practice address
208 W HIGHLAND RD, STE 100, HIGHLAND, MI 48357-4574
(248) 889-9467
(586) 773-1211
Mailing address
208 W HIGHLAND RD, STE 100, HIGHLAND, MI 48357-4574
(248) 889-9467
(586) 773-1211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AI064238
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3506329012
BCBS
MI
01
—
38582550
TAX ID
MI
05
—
4343844
—
MI
Enumeration date
05/08/2007
Last updated
01/17/2012
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