Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1730297730

Anatomic Pathology & Clinical Pathology Physician

Unknown Individual is a healthcare provider. based in Flint, Michigan. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. EQ031430 (MI). The NPI Number for Unknown Individual is 1730297730

Main info

Organization

Inactive

58 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1730297730

Phone

(810) 733-8885

Address

3490 CALKINS RD

Deactivation Date

16 June 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8107337741

Graduation Year

1968 (58 years ago)

PAC ID

6204724024

Group Practice PAC ID

2365419454

Professional Enrollment ID

I20040304000956

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

3490, Calkins Road, Flint Township, Genesee County, Michigan, 48532, United States
FLINT, MI 485323506
Phone: (810) 733-8885
Fax: (810) 733-8898
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48532)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PATHOLOGY	MI	88342	Tissue or cell analysis by immunologic technique	73	61

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2365419454View full group profile

Name	Specialty	State
DOINA DAVID (MD)	-	MI
DR. DAVID A WIESE (M.D.)	P A T H O L O G Y	MI
DR. PETER S NG (M.D.)	-	MI
DR. KHUSHI SWEETY LOKESH NAGORI (MBBS)	-	MI
MEHBOOB MOHAMMED SARLIQUE FATTEH (MD)	-	MI
MONROE H ADAMS (DO)	-	MI
DR. DENNIS WAYNE SPENDER (MD)	-	MI
MING CAO (MD)	-	MI
MICHAEL PATRICK BARNA (M.D.)	-	MI
DR. WEIMIN LIU (M.D.)	-	MI

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?

Yes. Unknown Individual is listed with NPI 1730297730 in the public NPI dataset.

Why might Unknown Individual appear inactive while still practicing?

We display what the registry publishes: Unknown Individual appears inactive there.

What is Unknown Individual's specialty?

The listing groups Unknown Individual with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual based?

Unknown Individual is tied to Flint, Michigan in the data we show; additional addresses may exist on the full record.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.