EASTPOINTE FAMILY PHYSICIANS NPI 1609966670

NPI Information

NPI: 1609966670
Provider Name: EASTPOINTE FAMILY PHYSICIANS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
24901 KELLY RD
EASTPOINTE, MI
ZIP 48021
Phone: (586) 772-9055
Get Directions

EASTPOINTE FAMILY PHYSICIANS is a family medicine in Eastpointe, 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. EASTPOINTE FAMILY PHYSICIANS NPI is 1609966670. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24901 KELLY RD
EASTPOINTE, MI
ZIP 48021-367
Phone: (586) 772-9055
Fax: (586) 772-0543

The provider's authorized official is Hardik M Shah .
The authorized official title is President/ Owner and has the following contact phone number (586) 772-9055.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 8/22/2020.

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
1	207Q00000X	Family Medicine			MICHIGAN	Yes
2	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		5101010763	MICHIGAN	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3439691	MEDICAID	MICHIGAN
2	4653079	MEDICAID	MICHIGAN
3	4665525	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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