A. Peter Evangelista, MD, PC
Internal Medicine in Livonia, MI. Organization (NPI-2).
NPI number1538616008
StatusActive
Last updated in NPPESSep 1, 2016
Details
- NPI
- 1538616008
- Entity type
- Organization (NPI-2)
- Legal business name
- A. Peter Evangelista, MD, PC
- Organization subpart
- No
- Enumeration date
- Sep 1, 2016
- Last updated
- Sep 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 4301108922 | MI | Yes |
Practice location
10475 Farmington RdLivonia, MI 48150-5704
Phone 734-427-9440 · Fax 734-427-1071
Mailing address
7071 Orchard Lake RdSuite 333
West Bloomfield, MI 48322-3613
Phone 248-626-0470 · Fax 248-626-0221
Authorized official
Augustus Peter Evangelista
Ceo
2486260470
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