Prime Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIME CARE PC

Practice address

461 W Huron St
Pontiac, MI 48341-1601

Phone

(248) 857-7583

Fax

(248) 857-7588

NPI assigned

Apr 3, 2007

Last updated

Aug 21, 2007By 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

Himabindu Chandrasekhar, MD

Title

Owner

Phone

(248) 390-3113

Specialties & licenses 1

Addresses

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.

• Tarlika Chirpriya Dhabuwala, MD

  • Internal Medicine Physician
  • Clarkston, MI
  • NPI 1336194117
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1184745556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 SUNLIGHT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091330",
            "telephone_number": "248-390-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "248-857-7583",
            "fax_number": "248-857-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "CHANDRASEKHAR",
        "authorized_official_first_name": "HIMABINDU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-390-3113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Gladston Pragasam
• Warren Rauss Pratt, RPH
• Preethi Premkumar, CGC
• Keyanna Price
• Tykheema Keiara Price
• Prime One Home Care LLC
• Prime One Home Health Care
• Robert Tyler Prince, MS, CGC
• Pro Dental Mi 1 PC (Destiny Dental of Pontiac)
• Proper Care, LLC

• Family Medicine Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.