Family Care Center of Hamtramck PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301071743 Issued in MI

Legal business name

FAMILY CARE CENTER OF HAMTRAMCK PC

Practice address

3120 Carpenter St
Ste 301
Hamtramck, MI 48212-9802

Phone

(313) 369-1600

Fax

(313) 369-1100

NPI assigned

May 24, 2007

Last updated

Mar 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bhupesh Sharma, MDNPI 1932273901

Title

President

Phone

(313) 369-1600

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bhupesh Sharma, MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1932273901
  Medicare reassignment Care Compare group NPD Authorized official
• Meenakshi Sharma, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1518937762
  Medicare reassignment Care Compare group NPD
• Aruna A Mehendale, M.D.

  • General Practice Physician
  • Highland Park, MI
  • NPI 1639256100
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1023229127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 REGENTS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845419",
            "telephone_number": "313-369-1600",
            "fax_number": "313-369-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 CARPENTER ST",
            "address_2": "STE 301",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482129802",
            "telephone_number": "313-369-1600",
            "fax_number": "313-369-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CENTER OF HAMTRAMCK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "BHUPESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-369-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301071743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "G87197",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "001070",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104437495",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1108272081",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mariem Adnan Faraj

• Internal Medicine Physician in Hamtramck, MI
• Providers in Hamtramck, 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 Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.