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ALAA PRIMARY CARE PLLC NPI 1356000715


NPI Information

NPI: 1356000715
Provider Name: ALAA PRIMARY CARE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2270948

Address:
1340 S COMMERCE RD STE B
WALLED LAKE, MI
ZIP 48390
Phone: (313) 485-4513
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ALAA PRIMARY CARE PLLC is a family medicine in Walled Lake, 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. ALAA PRIMARY CARE PLLC NPI is 1356000715. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1340 S COMMERCE RD STE B
WALLED LAKE, MI
ZIP 48390-010
Phone: (313) 485-4513

The provider's authorized official is Alaa Hussein-ali .
The authorized official title is Owner and has the following contact phone number (313) 485-4513.

The CLIA number assigned to this NPI record is 23D2270948 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2021 and was last updated on 12/14/2021.


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 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: 5/5/2024

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