Organization Active NPI

Royal Home Visting Physicians, P.C.

  • Medical Specialty Clinic/Center
  • Hamtramck, MI
National Provider Identifier
1477707305
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4301039115 Issued in MI
Legal business name
ROYAL HOME VISTING PHYSICIANS, P.C.
Practice address
3985 Caniff St
Hamtramck, MI 48212-3184
Phone
(313) 368-0668
Fax
(313) 368-0568
NPI assigned
Nov 5, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Mohsen Djamali, MD
Title
Ceo/President
Phone
(313) 368-0668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
HomeopathGroup: 193200000X MULTI-SPECIALTY GROUP 175L00000X MI
Medical Specialty Clinic/Center 261QM2500X 4301039115 MI Primary

Addresses

Primary practice location

3985 Caniff St
Hamtramck, MI 48212-3184

Mailing address

3985 Caniff St
Hamtramck, MI 48212-3184
Phone (313) 368-0668

Other identifiers 2

IdentifierTypeStateIssuer
1407991615OtherMIBLUE CROSS
1407991615MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477707305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 CANIFF ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123184",
            "telephone_number": "313-368-0668",
            "fax_number": "313-368-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 CANIFF ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123184",
            "telephone_number": "313-368-0668",
            "fax_number": "313-368-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HOME VISTING PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DJAMALI",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "313-368-0668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homeopath",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301039115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1407991615",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407991615",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.