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IMHOTEP MEDICAL SERVICES INC. NPI 1386767473


NPI Information

NPI: 1386767473
Provider Name: IMHOTEP MEDICAL SERVICES, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5525 GREENWAY ST
DETROIT, MI
ZIP 48204
Phone: (313) 935-0399
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IMHOTEP MEDICAL SERVICES, INC. is a family medicine in Detroit, 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. IMHOTEP MEDICAL SERVICES, INC. NPI is 1386767473. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5525 GREENWAY ST
DETROIT, MI
ZIP 48204-112
Phone: (313) 935-0399
Fax: (313) 931-9113

The provider's authorized official is Connie L Mitchell .
The authorized official title is Owner, Physician and has the following contact phone number (313) 701-1187.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 10/6/2014.


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
1207Q00000XFamily MedicineM4301056553MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F88563MEDICARE UPINMICHIGAN
24706980MEDICAIDMICHIGAN

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: 11/14/2023

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