Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Gastroenterology Clinic, PC

Organization Pediatric Gastroenterology Physician · NPI 1912172479

Pediatric Gastroenterology Clinic, PC is a Pediatric Gastroenterology Physician in Bloomfield Hills, Michigan. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

43700 Woodward Ave Ste 210
Bloomfield Hills, MI 48302-5058
Phone: (248) 338-4433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X

Record details

NPI number1912172479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouhib Ayas — President · (248) 338-4433
NPI enumeratedApril 25, 2008
Last updated in NPPESJune 21, 2018
Mailing address43700 Woodward Ave, Suite 210, Bloomfield Hills, MI 48302-5058

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