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WEST PARK MEDICAL CLINIC PC NPI 1538704218


NPI Information

NPI: 1538704218
Provider Name: WEST PARK MEDICAL CLINIC PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D2175404

Address:
16238 W WARREN AVE
DETROIT, MI
ZIP 48228
Phone: (313) 438-0198
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WEST PARK MEDICAL CLINIC PC is an urgent care clinic center in Detroit, MI. WEST PARK MEDICAL CLINIC PC NPI is 1538704218. The provider is registered as an organization entity type.

The provider's business location address is:

16238 W WARREN AVE
DETROIT, MI
ZIP 48228-701
Phone: (313) 438-0198
Fax: (313) 438-0157

The provider's authorized official is Anwar El-khatib .
The authorized official title is Owner and has the following contact phone number (313) 438-0198.

The CLIA number assigned to this NPI record is 23D2175404 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2019 and was last updated on 11/18/2019.


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
1261QU0200XClinic/CenterUrgent CareYes

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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