| NPI | 1083359913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA R RAHMAN President 313-707-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2024-02-05 |