ELIAS G GENNAOUI M.D. PC
NPI 1205000205
Specialist in Allen Park, MI

Active since April 22, 2008
14825 SOUTHFIELD RD, ALLEN PARK, MI 48101(313) 386-3930(313) 386-0962 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elias G Gennaoui M.d. Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIAS G GENNAOUI M.D. PC (NPI 1205000205) is a healthcare organization registered as a specialist in Allen Park, Michigan and active in the NPI registry since April 2008. The organization lists Elias G Gennaoui, Owner, as its authorized official.

NPPES Registry Identity

NPI1205000205
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameELIAS G GENNAOUI M.D. PC
Location Address14825 SOUTHFIELD RDAllen Park, MI 48101-2642
Mailing Address14825 Southfield RdAllen Park, MI 48101-2642 · (313) 386-3930 · Fax (313) 386-0962
Fax(313) 386-0962
Organization SubpartNo
Authorized OfficialElias G GennaouiOwner · (313) 386-3930
Enumeration DateApril 22, 2008
NPI 1205000205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MI · EG037248
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
14825 SOUTHFIELD RD, Allen Park, MI 48101

Other Identifiers 2

Medicare UPINA74515MI
Medicaid3442150MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Family Medicine
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Obstetrics & Gynecology
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Internal Medicine
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Nurse Practitioner (Family)
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Nurse Practitioner (Family)
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Physician Assistant
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Nurse Practitioner (Gerontology)
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elias G Gennaoui M.D. PC's NPI number?

The NPI number for Elias G Gennaoui M.D. PC is 1205000205. It was assigned to this organization in the NPPES registry on April 22, 2008.

Where is Elias G Gennaoui M.D. PC located?

Elias G Gennaoui M.D. PC is located at 14825 Southfield Rd, Allen Park, MI 48101. The listed phone number is (313) 386-3930.

What is Elias G Gennaoui M.D. PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Elias G Gennaoui M.D. PC was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.