JAN MEDICAL GROUP PLLC NPI 1043694979

NPI Information

  • NPI: 1043694979
  • Provider Name: JAN MEDICAL GROUP PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 43361 COMMONS DR
    CLINTON TOWNSHIP, MI
    ZIP 48038
  • Phone: (586) 690-7994

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NPI Details

JAN MEDICAL GROUP PLLC is a family medicine in Clinton Township, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JAN MEDICAL GROUP PLLC NPI is 1043694979. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

43361 COMMONS DR
CLINTON TOWNSHIP, MI
ZIP 48038-109
Phone: (586) 690-7994
Fax: (586) 569-2589

The provider's authorized official is Fadi I Ibrahim .
The authorized official title is Member and has the following contact phone number (586) 690-7994.

The enumeration date for this NPI number is 7/9/2015 and was last updated on 9/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301092978MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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