Organization Active NPI

Cherry Hill Primary Care PLLC

  • Family Medicine Physician
  • Inkster, MI
National Provider Identifier
1306016159
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHERRY HILL PRIMARY CARE PLLC
Practice address
339 Inkster Rd
Inkster, MI 48141-1208
Phone
(313) 278-2000
Fax
(313) 562-9407
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Dr. Adib Omar Abdolkarim, M.D.
Title
Owner/Ceo
Phone
(313) 278-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

339 Inkster Rd
Inkster, MI 48141-1208

Mailing address

339 Inkster Rd
Inkster, MI 48141-1208
Phone (313) 278-2000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1306016159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 INKSTER RD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411208",
            "telephone_number": "313-278-2000",
            "fax_number": "313-562-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 INKSTER RD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411208",
            "telephone_number": "313-278-2000",
            "fax_number": "313-562-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HILL PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "ABDOLKARIM",
        "authorized_official_first_name": "ADIB",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "313-278-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inkster, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.