Organization Name: | FAMILY PRACTICE CARE PLLC |
NPI Number: | 1871606822 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOHAMED ASLAM KHAN (OWNER) |
Mailing Address: | 27450 Schoenherr Rd Suite 400 Warren |
State: | MI US |
Postal Code: | 480886683 |
Phone Number: | 5867789888 |
Fax Number: | 5867788580 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |