Organization Name: | VIRTUE LUNG INSTITUTE PC |
NPI Number: | 1013365097 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAHER KEFRI (PHYSICIAN) |
Mailing Address: | 14555 Levan Rd Ste 309 Livonia |
State: | MI US |
Postal Code: | 481545083 |
Phone Number: | 7344625858 |
Fax Number: | 7344625860 |
NPI Enumeration Date: | 05/31/2016 |
NPI Last Update Date: | 05/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM2500X |
License Number: | 4301055827 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Medical Specialty |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |