Provider Demographics
NPI:1588078901
Name:AAIRS DIAGNOSTICS PC
Entity type:Organization
Organization Name:AAIRS DIAGNOSTICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:ALKHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-689-1000
Mailing Address - Street 1:1500 W. BIG BEAVER
Mailing Address - Street 2:STE 107
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084
Mailing Address - Country:US
Mailing Address - Phone:248-689-1000
Mailing Address - Fax:248-689-5711
Practice Address - Street 1:1500 W. BIG BEAVER
Practice Address - Street 2:STE 107
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084
Practice Address - Country:US
Practice Address - Phone:248-689-1000
Practice Address - Fax:248-689-5711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301081520207RS0012X, 207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & ImmunologyGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
06088272OtherECFMG
06088272OtherECFMG
MI166083Medicare UPIN