Cathedral Community Medical Clinic Pc

LBN: Cathedral Community Medical Clinic Pc
Cathedral Community Medical Clinic Pc is an health care organization with primary practice located at 26515 Baldwin St , Dearborn Heights MI 48127-1908. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Cathedral Community Medical Clinic Pc can be contacted via phone (313) 205-0909, or through Fayad, Fady via phone (313) 205-0909.

Contact Information

Primary practice address
26515 Baldwin St Dearborn Heights MI 48127-1908
Phone: (313) 205-0909
Fax: (313) 562-0751
Website:
Map and Directions
Authorized official contact:
Name: Fayad, Fady Doctor of Medicine (MD)
Phone: (313) 205-0909

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301064977 Michigan

Profile Details

NPI number 1649289844
LBN Legal business name Cathedral Community Medical Clinic Pc
DBA Doing business as
Authorized official Fayad, Fady Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 9th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649289844 NPPES
Michigan MEDICAID 3347295T

Popular Providers