Van Dyke Medical Center P C

LBN: Mohammed S Haq Md P C
Van Dyke Medical Center P C is an health care organization with primary practice located at 624 E 9 Mile Rd , Hazel Park MI 48030-1842. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mohammed S Haq Md P C can be contacted via phone (248) 541-2800, or through Haq, Mohammed Sirajul via phone (313) 819-8155.

Contact Information

Primary practice address
624 E 9 Mile Rd Hazel Park MI 48030-1842
Phone: (248) 541-2800
Fax: (248) 548-5385
Website:
Map and Directions
Authorized official contact:
Name: Haq, Mohammed Sirajul Doctor of Medicine (MD)
Phone: (313) 819-8155

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MH045683 Michigan

Profile Details

NPI number 1437392552
LBN Legal business name Mohammed S Haq Md P C
DBA Doing business as Van Dyke Medical Center P C
Authorized official Haq, Mohammed Sirajul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2009
Last updated Jun 5th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437392552 NPPES
Other MH045683 LICENSE NUMBER
MEDICAID 4483371-10 LICENSE NUMBER

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