HomeNPI Verification

NPI Verification

National Provider Identifier: 1134204993

Adult & Pediatric M D PLLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Clinic/Center, Family Planning, Non-Surgical

Code: 261QF0050X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

3120 CARPENTER ST

SUITE 201

HAMTRAMCK, MI 482129802

Phone: 313-909-3694

NPI Enumeration Date

October 27, 2006

NPI Number

1134204993

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry