Great Lakes Family Medical Center Pllc

LBN: Great Lakes Family Medical Center Pllc
Great Lakes Family Medical Center Pllc is an health care organization with primary practice located at 4420 E Davison St , Detroit MI 48212-1744. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Great Lakes Family Medical Center Pllc can be contacted via phone (313) 369-1500, or through Paharia, Amitabh via phone (313) 369-1500.

Contact Information

Primary practice address
4420 E Davison St Detroit MI 48212-1744
Phone: (313) 369-1500
Fax: (313) 369-1205
Website:
Map and Directions
Authorized official contact:
Name: Paharia, Amitabh Doctor of Medicine (MD)
Phone: (313) 369-1500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1982881025
LBN Legal business name Great Lakes Family Medical Center Pllc
DBA Doing business as
Authorized official Paharia, Amitabh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2008
Last updated Sep 4th, 2013 - about 11 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

Popular Providers