Downriver Clinic Pc

LBN: Downriver Clinic Pc
Downriver Clinic Pc is an health care organization with primary practice located at 8944 Macomb St , Grosse Ile MI 48138-2089. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Downriver Clinic Pc can be contacted via phone (734) 675-0705, or through Khaled, Mounir via phone (734) 675-0705.

Contact Information

Primary practice address
8944 Macomb St Grosse Ile MI 48138-2089
Fax: (734) 675-0747
Website:
Authorized official contact:
Name: Khaled, Mounir Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301091157 Michigan

Profile Details

NPI number 1205073285
LBN Legal business name Downriver Clinic Pc
DBA Doing business as
Authorized official Khaled, Mounir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2009
Last updated Jul 15th, 2010 - about 15 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 1205073285 NPPES
Michigan MEDICAID 1205073285
Michigan Other 259686
Michigan Other DO7341
Michigan Other 174382
Michigan Other 614738100
Michigan Other 110H242960
Michigan Other 82028050

Popular Providers