Organization
OAKLAND OPHTHALMIC SURGERY PC
Active
Organization
OAKLAND OPHTHALMIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PRAVOOT GIRA (OWNER)
(314) 909-0633
Entity
Organization
Contact information
Practice address
800 S ADAMS RD, SUITE 201, BIRMINGHAM, MI 48009-7005
(248) 644-8060
(248) 644-5081
Mailing address
800 S ADAMS RD, SUITE 201, BIRMINGHAM, MI 48009-7005
(248) 644-8060
(248) 644-5081
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F37296
BCBSM
—
01
—
180F372960
BLUE CARE NETWORK
—
Enumeration date
09/06/2005
Last updated
01/04/2024
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