EXECUTIVE MEDICAL CENTER PLLC NPI 1316633860

NPI Information

  • NPI: 1316633860
  • Provider Name: EXECUTIVE MEDICAL CENTER PLLC
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Organization
  • Address: 17000 EXECUTIVE PLAZA DR STE 104
    DEARBORN, MI
    ZIP 48126
  • Phone: (313) 879-0111

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NPI Details

EXECUTIVE MEDICAL CENTER PLLC is an infectious disease internal medicine in Dearborn, MI. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. EXECUTIVE MEDICAL CENTER PLLC NPI is 1316633860. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17000 EXECUTIVE PLAZA DR STE 104
DEARBORN, MI
ZIP 48126-793
Phone: (313) 879-0111
Fax: (313) 879-0222

The provider's authorized official is Hassan Dakroub .
The authorized official title is Owner and has the following contact phone number (313) 485-0111.

The enumeration date for this NPI number is 4/17/2023 and was last updated on 10/3/2023.

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
1207RI0200XInternal MedicineInfectious DiseaseYes

What is NPI?

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This page was last updated on: 11/21/2025

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