KENNETH DZIUBA MD PC
NPI 1891955597
Internal Medicine in Eastpointe, MI

Q: What is Kenneth Dziuba MD PC's NPI number?

The NPI number for Kenneth Dziuba MD PC is 1891955597. It was assigned to this organization in the NPPES registry on June 16, 2008.

Q: What is Kenneth Dziuba MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 16, 2008

21331 KELLY RD, EASTPOINTE, MI 48021(586) 773-7780(586) 774-9656 Get Directions Write a Review

NPPES record last updated: March 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenneth Dziuba Md Pc NPPES

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

KENNETH DZIUBA MD PC (NPI 1891955597) is a healthcare organization registered as an internal medicine in Eastpointe, Michigan and active in the NPI registry since June 2008. The organization lists Kenneth Dziuba, President, as its authorized official.

NPPES Registry Identity

NPI1891955597

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameKENNETH DZIUBA MD PC

Location Address21331 KELLY RDEastpointe, MI 48021-3265

Mailing Address21331 Kelly RdEastpointe, MI 48021-3265 · (586) 773-7780 · Fax (586) 774-9656

Phone(586) 773-7780

Fax(586) 774-9656

Organization SubpartNo

Authorized OfficialKenneth DziubaPresident · (586) 773-7780

Enumeration DateJune 16, 2008

Last NPPES UpdateMarch 10, 2009

✔ NPI 1891955597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 43010039122

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

21331 KELLY RD, Eastpointe, MI 48021

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Other Identifiers 5

Medicare PIN0505614MI

Medicaid4157965MI

Medicare UPINA74419MI

Medicare PIN110064510MI

Medicare PIN0P59280MI

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.

BRANDI PATE-BROWN

Case Manager/Care Coordinator