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CEDAR MEDICAL ASSOCIATES NPI 1649451964


NPI Information

NPI: 1649451964
Provider Name: CEDAR MEDICAL ASSOCIATES
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 23D0367109

Address:
1951 MONROE ST
DEARBORN, MI
ZIP 48124
Phone: (313) 563-5757
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CEDAR MEDICAL ASSOCIATES is an internal medicine in Dearborn, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CEDAR MEDICAL ASSOCIATES NPI is 1649451964. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1951 MONROE ST
DEARBORN, MI
ZIP 48124-916
Phone: (313) 563-5757
Fax: (313) 563-5760

The provider's authorized official is Ghadi G Ghorayeb .
The authorized official title is Owner and has the following contact phone number (313) 563-5757.

The CLIA number assigned to this NPI record is 23D0367109 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2007 and was last updated on 4/26/2017.


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
1202K00000XPhlebologyGG078483MICHIGANNo
2207R00000XInternal MedicineGG078483MICHIGANYes

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
10P52810MEDICARE PINMICHIGAN
2110H232600OTHERMICHIGANBC/BS
3I15962MEDICARE UPINMICHIGAN
4110H232600OTHERMICHIGANBCN

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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