Organization Active NPI

Michigan Health Center PC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1154337749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AE059188 Issued in MI
Legal business name
MICHIGAN HEALTH CENTER PC
Practice address
4808 W Vernor
Michigan Health Center
Detroit, MI 48209
Phone
(313) 843-2500
Fax
(248) 356-3442
NPI assigned
Aug 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Azhar A Esho, MD
Title
President
Phone
(248) 356-8567

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AE059188 MI Primary
Internal Medicine Physician 207R00000X IN076343 MI

Addresses

Primary practice location

4808 W Vernor
Michigan Health Center
Detroit, MI 48209

Mailing address

26400 W Twelve Mile Rd
Ste 160
Southfield, MI 48034
Phone (248) 356-8567

Other identifiers 2

IdentifierTypeStateIssuer
4458172MedicaidMI
4600718MedicaidMI

National Provider Directory

National Provider Directory

Locations

4818 W Vernor Hwy
Detroit, MI 48209
Phone (313) 610-1156

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154337749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26400 W TWELVE MILE RD",
            "address_2": "STE 160",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-356-8567",
            "fax_number": "248-356-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 W VERNOR",
            "address_2": "MICHIGAN HEALTH CENTER",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48209",
            "telephone_number": "313-843-2500",
            "fax_number": "248-356-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESHO",
        "authorized_official_first_name": "AZHAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-356-8567",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "AE059188",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "IN076343",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4458172",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4600718",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • 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.