My Doctors Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MY DOCTORS CLINIC PLLC

Practice address

4353 Maple St
Dearborn, MI 48126-3535

Phone

(313) 908-0004

Fax

(313) 908-7873

NPI assigned

Feb 3, 2021

Last updated

Sep 6, 2023By 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

Daoud A FarajNPI 1649213463

Title

Owner

Phone

(313) 908-9004

Specialties & licenses 2

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.

• Daoud Abbas Faraj, M.D.

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1649213463
  Authorized official Same address or phone

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1346832193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263555",
            "telephone_number": "313-908-9004",
            "fax_number": "313-908-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 MAPLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263535",
            "telephone_number": "313-908-0004",
            "fax_number": "313-908-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DOCTORS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2023-09-06",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "FARAJ",
        "authorized_official_first_name": "DAOUD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-908-9004"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MVP Endovascular Center PLLC
• My Breastfeeding Journey
• My Care Pharmacy L.L.C.
• My Clinic PLLC
• My Community Home Care LLC
• My Pharmacy
• Wendy Nicole Myers-Cromwell, LMSW
• Daniel J Myers
• Malaya Myers
• Dana Marie Myler, LMSW

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, 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 Sep 6, 2023; 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.