Executive Plaza Medical, P.C.

LBN: Executive Plaza Medical, P.C.
Executive Plaza Medical, P.C. is an health care organization with primary practice located at 17000 Executive Plaza Dr Suite 103, Dearborn MI 48126-2793. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Executive Plaza Medical, P.C. can be contacted via phone (313) 915-4632, or through Hossein, Hossam A via phone (313) 915-4632.

Contact Information

Primary practice address
17000 Executive Plaza Dr Suite 103 Dearborn MI 48126-2793
Phone: (313) 915-4632
Fax: (313) 915-4634
Website:
Map and Directions
Authorized official contact:
Name: Hossein, Hossam A
Phone: (313) 915-4632

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101006652 Michigan
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 5101006652 Michigan
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 4301405559 Michigan
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 4301405324 Michigan

Profile Details

NPI number 1952715153
LBN Legal business name Executive Plaza Medical, P.C.
DBA Doing business as
Authorized official Hossein, Hossam A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2014
Last updated Jan 13th, 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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