PHOENIX MEDICAL SPA MDPC NPI 1508107038

NPI Information

NPI: 1508107038
Provider Name: PHOENIX MEDICAL SPA MDPC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
7105 ALLEN RD
ALLEN PARK, MI
ZIP 48101
Phone: (313) 381-7130
Get Directions

PHOENIX MEDICAL SPA MDPC is a family medicine in Allen Park, 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. PHOENIX MEDICAL SPA MDPC NPI is 1508107038. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7105 ALLEN RD
ALLEN PARK, MI
ZIP 48101-009
Phone: (313) 381-7130
Fax: (313) 381-0721

The provider's authorized official is Hassan A. Saghir .
The authorized official title is Owner, Ceo and has the following contact phone number (313) 310-4300.

The enumeration date for this NPI number is 3/7/2013 and was last updated on 3/7/2013.

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
1	207Q00000X	Family Medicine		4301088407	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0951827	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD

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

NPI Synchronization or Removal

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