Active NPI
Michigan Health Center PC
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1154337749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- AE059188
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4458172 | Medicaid | MI | |
| 4600718 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Deerfield Beach, FL
- NPI 1760495998
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
- Michigan Employment & Training Plus (Met Plus)
- Michigan Employment & Training Plus (Met Plus)
- Michigan Family Connection
- Michigan Foot Surgeons, P.C.
- Michigan Frontline Laboratory LLC
- Michigan Home Help Services LLC
- Michigan Infection Specialists PLLC
- Michigan Institute for Prevention and Intervention
- Michigan Magical
- Michigan Medical Mall
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.