Redeemer Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REDEEMER FAMILY CLINIC

Practice address

1700 Junction St
Detroit, MI 48209-2110

Phone

(313) 841-5500

Fax

(313) 841-5501

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Nabeel Toma, MDNPI 1982795126

Title

President

Phone

(313) 841-5500

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.

• Nabeel Toma, MD

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1982795126
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487745634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 JUNCTION ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092110",
            "telephone_number": "313-841-5500",
            "fax_number": "313-841-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 JUNCTION ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092110",
            "telephone_number": "313-841-5500",
            "fax_number": "313-841-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMER FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMA",
        "authorized_official_first_name": "NABEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-841-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J. Reddy, M.D.
• Hemalata Reddy, MD
• Kallam S. Reddy, M.D.
• Snigdha Thummala Reddy, M.D.
• Sunil Sandadi Reddy, M.D.
• Catrina Y Redfearn
• Redford Geriatric Village, Inc
• Redford Opco, LLC
• Redford Pharmacy Inc
• Redfoxx Non-Medical Homecare LLC

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, 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 Aug 22, 2020; 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.