| NPI | 1952992752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYAZ AHAMED Owner/President 734-578-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-06-08 |