| Organization Name: | HEALTH ONE MEDICAL CENTER, EASTPOINTE LLC |
| NPI Number: | 1669508917 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SATISH R MEHTA (PRESIDENT) |
| Mailing Address: | 21225 Kelly Rd Suite # 4 Eastpointe |
| State: | MI US |
| Postal Code: | 480213100 |
| Phone Number: | 5867764185 |
| Fax Number: | 5867765132 |
| NPI Enumeration Date: | 02/23/2007 |
| NPI Last Update Date: | 09/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301065258 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |