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HIGHLAND PARK MEDICAL CENTER PLLC NPI 1023305026


NPI Information

NPI: 1023305026
Provider Name: HIGHLAND PARK MEDICAL CENTER, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0369636

Address:
15119 WOODWARD AVE
HIGHLAND PARK, MI
ZIP 48203
Phone: (313) 865-2020
Get Directions

HIGHLAND PARK MEDICAL CENTER, PLLC is a family medicine in Highland Park, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HIGHLAND PARK MEDICAL CENTER, PLLC NPI is 1023305026. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15119 WOODWARD AVE
HIGHLAND PARK, MI
ZIP 48203-907
Phone: (313) 865-2020

The provider's authorized official is Sunitha Nambiar .
The authorized official title is Medical Director and has the following contact phone number (313) 865-2020.

The CLIA number assigned to this NPI record is 23D0369636 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2011 and was last updated on 6/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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