Organization Active NPI

Anha Medical PC

  • Clinical Medical Laboratory
  • Troy, MI
National Provider Identifier
1396345666
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ANHA MEDICAL PC
Practice address
2328 Livernois Rd Ste 1060
Troy, MI 48083-1656
Phone
(313) 207-6210
NPI assigned
Oct 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Mohamed Moustafa El-Fakharany, MDNPI 1225242449
Title
Owner
Phone
(313) 207-6210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2328 Livernois Rd Ste 1060
Troy, MI 48083-1656

Mailing address

6402 Golfview St
Garden City, MI 48135-2005
Phone (313) 207-6210

Other names 1

  • ANHA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201229002150 MI Part B Supplier - Clinic/Group Practice 0840603429 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn Heights, MI; Hazel Park, MI; Wayne, MI
O20230316001824 MI Part B Supplier - Independent Clinical Laboratory 0840603429 Practice locations: Hazel Park, MI; Troy, 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
23D2267342Anha Lab2328 Livernois Road Suite 1060, Troy, MI 48083RegistrationMay 5, 2027

National Provider Directory

National Provider Directory

Locations

2328 Livernois Rd
Troy, MI 48083

4635 Howe Rd
Wayne, MI 48184
Phone (313) 436-0043

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1396345666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 GOLFVIEW ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352005",
            "telephone_number": "313-207-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 LIVERNOIS RD STE 1060",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831656",
            "telephone_number": "313-207-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANHA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "EL-FAKHARANY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "MOUSTAFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-207-6210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.