Provider Type Icon

COORDINATED MEDICAL I PLLC NPI 1053019679


NPI Information

NPI: 1053019679
Provider Name: COORDINATED MEDICAL I PLLC

Former Legal Business Name: HONEST MEDICAL GROUP PLLC

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 23D2301290

Address:
39555 ORCHARD HILL PL STE 600
NOVI, MI
ZIP 48375
Phone: (833) 633-1295
Get Directions

COORDINATED MEDICAL I PLLC is a general practice in Novi, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee COORDINATED MEDICAL I PLLC NPI is 1053019679. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Honest Medical Group Pllc.

The provider's business location address is:

39555 ORCHARD HILL PL STE 600
NOVI, MI
ZIP 48375-381
Phone: (833) 633-1295

The provider's authorized official is Mouleena Khan .
The authorized official title is Director and has the following contact phone number (833) 633-1295.

The CLIA number assigned to this NPI record is 23D2301290 - other - provider home visits with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2023 and was last updated on 2/20/2024.


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
1208D00000XGeneral PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.