Prime Care Medical Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIME CARE MEDICAL CENTER INC

Practice address

22150 Greenfield Rd
Suite 100
Oak Park, MI 48237-2535

Phone

(248) 967-5882

NPI assigned

May 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sanaa Ghazi

Title

President

Phone

(248) 967-5882

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013969047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22150 GREENFIELD RD",
            "address_2": "SUITE 100",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372535",
            "telephone_number": "248-967-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22150 GREENFIELD RD",
            "address_2": "SUITE 100",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372535",
            "telephone_number": "248-967-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHAZI",
        "authorized_official_first_name": "SANAA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-967-5882"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.