| NPI | 1386345718 |
|---|---|
| Former Legal Business Name | MEDPEDS PHYSICIAN SERVICES, PLLC |
| Entity Type | Organization |
| Authorized Contact | ABRAHAM HUSSEINI Physician 313-424-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-06-21 |