Detroit Medical Group, Pllc
LBN: Detroit Medical Group, Pllc
Detroit Medical Group, Pllc is an health care organization with primary practice located at 14071 E Seven Mile Rd , Detroit MI 48205. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Detroit Medical Group, Pllc can be contacted via phone (313) 371-2828, or through Haque, Nazmul via phone (248) 203-1282.
Contact Information
Primary practice address
14071 E Seven Mile Rd
Detroit MI 48205
Phone: (313) 371-2828
Fax: (313) 371-9120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301061429 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301086498 | Michigan |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1255439956 |
|---|---|
| LBN Legal business name | Detroit Medical Group, Pllc |
| DBA Doing business as | |
| Authorized official | Haque, Nazmul Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 24th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255439956 | NPPES |
| Michigan | MEDICAID | 104670365 |
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