Organization Active NPI

Im Care Coordinators of Oh PLLC

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1356008684
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IM CARE COORDINATORS OF OH PLLC
Practice address
29877 Telegraph Rd Ste 400
Southfield, MI 48034-7661
Phone
(616) 485-0584
NPI assigned
Nov 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Arvinder Dhillon, MD
Title
President
Phone
(616) 485-0584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

29877 Telegraph Rd Ste 400
Southfield, MI 48034-7661

Mailing address

29877 Telegraph Rd Ste 400
Southfield, MI 48034-7661
Phone (616) 485-0584

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1356008684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347661",
            "telephone_number": "616-485-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347661",
            "telephone_number": "616-485-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM CARE COORDINATORS OF OH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "ARVINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-485-0584",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.