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ENDOCRINOLOGY AND DIABETES CENTER OF PORT HURON PLLC
NPI 1669454559
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fort Gratiot, MI

Active since November 16, 2005
4190 24TH AVE, SUITE: 201, FORT GRATIOT, MI 48059(810) 989-7478(810) 989-7644 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endocrinology And Diabetes Center Of Port Huron Pllc NPPES

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

ENDOCRINOLOGY AND DIABETES CENTER OF PORT HURON PLLC (NPI 1669454559) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Fort Gratiot, Michigan and active in the NPI registry since November 2005. The organization lists Sushma Reddy, General Partner, as its authorized official.

NPPES Registry Identity

NPI1669454559
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameENDOCRINOLOGY AND DIABETES CENTER OF PORT HURON PLLC
Location Address4190 24TH AVE, SUITE: 201Fort Gratiot, MI 48059-3882
Mailing Address4190 24th Ave, Suite: 201Fort Gratiot, MI 48059-3882 · (810) 989-7478 · Fax (810) 989-7644
Phone(810) 989-7478
Fax(810) 989-7644
Organization SubpartNo
Authorized OfficialSushma ReddyGeneral Partner · (810) 989-7478
Enumeration DateNovember 16, 2005
Last NPPES UpdateNovember 10, 2009
✔ NPI 1669454559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
4190 24TH AVE, Fort Gratiot, MI 48059
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

BEVERLIE HOUSER AGPCNP-BC
Nurse Practitioner (Gerontology)
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
PRIME GARDEN CITY MEDICAL GROUP
Internal Medicine
4190 24TH AVE, SUITE 206
FORT GRATIOT, MI 48059
St. Clair County (810) 216-4000
FARRUKH ZAMAN NAQVI M.D.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
NEUROSLEEP CENTER PLLC
Psychiatry & Neurology (Sleep Medicine)
4190 24TH AVE, SUITE 210
FORT GRATIOT, MI 48059
St. Clair County (810) 216-1901
PRIME HEALTHCARE SERVICES-PORT HURON, LLC
Clinic/Center (Ambulatory Surgical)
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7700
DANIEL C SOUPHIS D.O.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
FAHIM K IBRAHIM M.D., P.C.
Specialist
4190 24TH AVE, SUITE 204
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7702
CHRISTOPHER J BORGIEL M.D.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788

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 Endocrinology And Diabetes Center Of Port Huron PLLC's NPI number?

The NPI number for Endocrinology And Diabetes Center Of Port Huron PLLC is 1669454559. It was assigned to this organization in the NPPES registry on November 16, 2005.

Where is Endocrinology And Diabetes Center Of Port Huron PLLC located?

Endocrinology And Diabetes Center Of Port Huron PLLC is located at 4190 24th Ave Suite: 201, Fort Gratiot, MI 48059. The listed phone number is (810) 989-7478.

What is Endocrinology And Diabetes Center Of Port Huron PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Endocrinology And Diabetes Center Of Port Huron PLLC was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.