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MY DOCTORS CLINIC PLLC NPI 1346832193


NPI Information

NPI: 1346832193
Provider Name: MY DOCTORS CLINIC PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2287664

Address:
4353 MAPLE ST
DEARBORN, MI
ZIP 48126
Phone: (313) 908-0004
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MY DOCTORS CLINIC PLLC is a family medicine in Dearborn, 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. MY DOCTORS CLINIC PLLC NPI is 1346832193. The provider is registered as an organization entity type.

The provider's business location address is:

4353 MAPLE ST
DEARBORN, MI
ZIP 48126-535
Phone: (313) 908-0004
Fax: (313) 908-7873

The provider's authorized official is Daoud A Faraj .
The authorized official title is Owner and has the following contact phone number (313) 908-9004.

The CLIA number assigned to this NPI record is 23D2287664 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2021 and was last updated on 9/6/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2207Q00000XFamily MedicineYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.