Vibrant Life Medical Center PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VIBRANT LIFE MEDICAL CENTER PLLC

Practice address

2021 Monroe St Ste 101
Dearborn, MI 48124-2926

Phone

(313) 254-9151

NPI assigned

Jul 30, 2026

Last updated

Jul 30, 2026By 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

Dr. Wafah Jawad Kadhim, MDNPI 1669054417

Title

Physician

Phone

(313) 254-9151

Specialties & licenses 1

Addresses

Locations

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.

• Wafah Jawad Kadhim, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1669054417
  NPD (past) Authorized official

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1366365165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 MONROE ST STE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242926",
            "telephone_number": "313-254-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MONROE ST STE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242926",
            "telephone_number": "313-254-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT LIFE MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "KADHIM",
        "authorized_official_first_name": "WAFAH",
        "authorized_official_middle_name": "JAWAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-254-9151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.