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VITALITY HEALTH CLINIC PLLC NPI 1689430407


NPI Information

NPI: 1689430407
Provider Name: VITALITY HEALTH CLINIC PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4245 S BEECH DALY ST STE 102
DEARBORN HEIGHTS, MI
ZIP 48125
Phone: (313) 414-0703
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VITALITY HEALTH CLINIC PLLC is a family medicine in Dearborn Heights, 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. VITALITY HEALTH CLINIC PLLC NPI is 1689430407. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4245 S BEECH DALY ST STE 102
DEARBORN HEIGHTS, MI
ZIP 48125-576
Phone: (313) 414-0703

The provider's authorized official is Rawya Kazan .
The authorized official title is Nurse Practitioner and has the following contact phone number (313) 414-0703.

The enumeration date for this NPI number is 2/28/2024 and was last updated on 4/18/2024.


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
1207Q00000XFamily MedicineYes
2261Q00000XClinic/CenterNo

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.