Organization Active NPI

Hamtramck Family Health Care PC

  • Family Medicine Physician
  • Hamtramck, MI
National Provider Identifier
1285279075
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HAMTRAMCK FAMILY HEALTH CARE PC
Practice address
9740 Conant St
Hamtramck, MI 48212-3307
Phone
(313) 945-5450
NPI assigned
Nov 15, 2019
Last updated
Nov 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Authorized official

Name
Ghazala Khan
Title
Manager
Phone
(313) 945-5450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

9740 Conant St
Hamtramck, MI 48212-3307

Mailing address

9740 Conant St
Hamtramck, MI 48212-3307
Phone (313) 945-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191221000475 MI Part B Supplier - Clinic/Group Practice 2860826070 Receives reassigned benefits from 2 practitioners
Practice locations: Hamtramck, MI; Sterling Heights, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0909534Hamtramck Family Health Care PC9740 Conant Street, Hamtramck, MI 48212Certificate of waiverAug 30, 2026

National Provider Directory

National Provider Directory

Locations

9740 Conant St
Hamtramck, MI 48212
Phone (313) 556-9900

9740 Conant St
Ste 1
Hamtramck, MI 48212
Phone (313) 556-9900

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1285279075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123307",
            "telephone_number": "313-945-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123307",
            "telephone_number": "313-945-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMTRAMCK FAMILY HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "GHAZALA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-945-5450"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.