GATEWAY MEDICAL CENTER PLLC NPI 1750999751

NPI Information

  • NPI: 1750999751
  • Provider Name: GATEWAY MEDICAL CENTER PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PRIMARY CARE OF MICHIGAN
  • CLIA Number: 23D2289936
  • Address: 22359 CHERRY HILL ST
    DEARBORN, MI
    ZIP 48124
  • Phone: (313) 406-3030

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NPI Details

GATEWAY MEDICAL CENTER PLLC is a family medicine in Dearborn, 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. GATEWAY MEDICAL CENTER PLLC NPI is 1750999751. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Primary Care Of Michigan.

The provider's business location address is:

22359 CHERRY HILL ST
DEARBORN, MI
ZIP 48124-190
Phone: (313) 406-3030
Fax: (313) 406-3037

The provider's authorized official is Mohammad Sabbagh .
The authorized official title is Owner and has the following contact phone number (313) 406-3030.

The CLIA number assigned to this NPI record is 23D2289936 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2020 and was last updated on 8/22/2023.

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

What is NPI?

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This page was last updated on: 3/30/2025

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