DR. BIBBAN B. DEOL (NPI# 1659320737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659320737 |
| Entity Type | Individual |
| Full Name | DR. BIBBAN B. DEOL |
| Credential | M.D. |
| Practice Address |
4201 St. Antoine Suite 5b Detroit MI 48201-2153 |
| Mailing Address |
1560 E Maple Rd Suite 400-credentialing Troy MI 48083-1138 |
| Practice Telephone | 3137451741 |
| Practice Fax Number | 3137458165 |
| Mailing Telephone | 3137451741 |
| Mailing Fax Number | 3137458165 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301078546 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
4301078546 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4201 ST. ANTOINE SUITE 5B |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368304 | Jiping Zhou | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, University Health Center - 8c, Detroit, MI 48201 | 2020-05-26 |
| 1669095857 | Tammy Hsia | Emergency Medicine | 4201 St. Antoine, Rm 6g-uhc, Detroit, MI 48201-4820 | 2020-05-21 |
| 1902428485 | Roberto Martin Veloso | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc 9c, Detroit, MI 48201 | 2020-05-07 |
| 1225659089 | Oluwatofehinti Oluwalademi Akande | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Room 2e-uhc, Detroit, MI 48201 | 2020-05-04 |
| 1952922882 | Angela Kalia | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, 9c-umc Graduate Medical Education, Detroit, MI 48201 | 2020-05-01 |
| 1841811072 | Junaid Hashim | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 | 2020-04-28 |
| 1922628668 | Brianna Chu | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 | 2020-04-23 |
| 1275153835 | Sarah E Ottum | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc 9c, Detroit, MI 48201 | 2020-04-23 |
| 1497375166 | Tara Maher Elia | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 | 2020-04-22 |
| 1528688249 | Madyson Shea Riddell | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Suite 6c Uhc, Detroit, MI 48201 | 2020-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427419662 | Shoaib A Rasheed | Internal Medicine | 250 Mcdougall St, Detroit, MI 48207-4291 | 2016-03-16 |
| 1326274473 | Saket Anand Saxena | Internal Medicine | 1 Ford Pl # 2f51, Detroit, MI 48202-3450 | 2009-06-03 |
| 1962572404 | Medical Care of Michigan LLC | Internal Medicine | 10330 W 7 Mile Rd, Detroit, MI 48221-1963 | 2006-11-09 |
| 1700827680 | Vasan H Deshikachar | Internal Medicine | 11803 Grand River Ave, Detroit, MI 48204-1810 | 2006-06-09 |
| 1386025930 | Omnia Dia Awad | Internal Medicine | 4201 Saint Antoine St Ste 2e, Detroit, MI 48201-2153 | 2015-06-09 |
| 1205275542 | Hasan Arrat | Internal Medicine | 7430 2nd Ave Ste 210, Detroit, MI 48202-2705 | 2013-06-20 |
| 1588732028 | Gwendolyn R. Graddy | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-12-01 |
| 1629082672 | Laxmi Raman Chigurupati | Internal Medicine | 4646 John R St, Detroit, MI 48201-1916 | 2006-07-27 |
| 1164451951 | Barbara Jean Siepierski | Internal Medicine | 4646 John R St, 11g, Detroit, MI 48201-1916 | 2006-07-02 |
| 1770527517 | Anchor Senior Medical Services Pllc | Internal Medicine | 11803 Grand River Ave, Detroit, MI 48204-1810 | 2006-06-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.