First Choice Medical Center P C
Organization Active NPI Family Medicine Physician · Westland, MI
NPI 1043345374 · NPPES record last updated Apr 20, 2010
Key facts
- NPI
- 1043345374
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- AA059759 (MI)
- Legal business name
- FIRST CHOICE MEDICAL CENTER P C
- Practice address
- 33000 Palmer Road
Westland, MI 48186 - Phone
- (734) 729-1800
- Fax
- (734) 729-8030
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Adib Omar Abdolkarim, M.D.
- Title
- Owner Physician
- Phone
- (734) 729-1800
Practitioners 4
-
Leah Michelle Marcotte, P.A.
-
Jessica Persaud, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060427000341 | MI | Part B Supplier - Clinic/Group Practice | 8426068974 |
Receives reassigned benefits from 4 practitioners Practice locations: Westland, MI |
National Provider Directory
Locations
33000 Palmer Rd
Ste D
Westland, MI 48186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 4301059759 | MI | |
| Family Medicine Physician |
207Q00000X | AA059759 | MI | Yes |
Addresses
Primary practice location
33000 Palmer Road
Westland, MI 48186
Mailing address
33000 Palmer Road
Westland, MI 48186
Phone (734) 729-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417413310 | Medicaid | MI | |
| 4174133TYPE10 | Medicaid | MI |
Other names
- Adib O. Abdolkarim M.D.
Other providers in Westland, MI
- Hasan Suleiman Fhasan
- Sue Fink
- Martha J Firnschild
- First Choice Adult Day Care Center
- First Choice Medical Center
- First Community Care, LLC
- Jaylin Renee Fisher
- Kayla Marie Fisher
- Sidney Fites
- Leyna Fleckenstein
All providers in Westland, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.