Acadian Medical Provider

LBN: Acadian Medical Provider
Acadian Medical Provider is an health care organization with primary practice located at 1158 Fort St , Lincoln Park MI 48146-1840. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Acadian Medical Provider can be contacted via phone (313) 399-4491, or through Rahdi, Eqdam N via phone (313) 399-4491.

Contact Information

Primary practice address
1158 Fort St Lincoln Park MI 48146-1840
Phone: (313) 399-4491
Fax: (248) 494-7440
Website:
Map and Directions
Authorized official contact:
Name: Rahdi, Eqdam N Doctor of Medicine (MD)
Phone: (313) 399-4491

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 4301088706 Michigan

Profile Details

NPI number 1720456866
LBN Legal business name Acadian Medical Provider
DBA Doing business as
Authorized official Rahdi, Eqdam N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2015
Last updated Sep 7th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720456866 NPPES
Michigan MEDICAID 4301088706

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