Provider Demographics
NPI:1174385207
Name:DOCTORS FOR KIDS, PLC
Entity type:Organization
Organization Name:DOCTORS FOR KIDS, PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PANKAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:MAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-650-5009
Mailing Address - Street 1:940 W AVON RD STE 10
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2760
Mailing Address - Country:US
Mailing Address - Phone:248-650-5009
Mailing Address - Fax:248-652-9557
Practice Address - Street 1:940 W AVON RD STE 11
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2760
Practice Address - Country:US
Practice Address - Phone:248-650-5009
Practice Address - Fax:248-652-9557
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOCTORS FOR KIDS, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-24
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty