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FATIMA HEALTH CAREP.C. NPI 1629003132


NPI Information

NPI: 1629003132
Provider Name: FATIMA HEALTH CARE,P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4789 WESTLAND ST
DEARBORN, MI
ZIP 48126
Phone: (313) 582-0217
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FATIMA HEALTH CARE,P.C. is a primary care clinic center in Dearborn, MI. FATIMA HEALTH CARE,P.C. NPI is 1629003132. The provider is registered as an organization entity type.

The provider's business location address is:

4789 WESTLAND ST
DEARBORN, MI
ZIP 48126-809
Phone: (313) 582-0217

The provider's authorized official is Inshad H Beydoun .
The authorized official title is Owner and has the following contact phone number (313) 582-0217.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 10/5/2018.


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
1261QP2300XClinic/CenterPrimary Care5601003140MICHIGANYes

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
1080H232870OTHERMICHIGANBCBS

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

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