Primary Care Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY CARE CENTER

Practice address

18161 W 12 Mile Rd
Suite 4
Lathrup Village, MI 48076-2662

Phone

(248) 443-7140

Fax

(248) 443-7141

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Neeran Yousif Bajouka, M.D.NPI 1326146390

Title

Doctor

Phone

(248) 443-7140

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23214/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Neeran Yousif Bajouka, MD

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1326146390
  NPD (past) Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568530053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 W 12 MILE RD",
            "address_2": "SUITE 4",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762662",
            "telephone_number": "248-443-7140",
            "fax_number": "248-443-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 W 12 MILE RD",
            "address_2": "SUITE 4",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762662",
            "telephone_number": "248-443-7140",
            "fax_number": "248-443-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAJOUKA",
        "authorized_official_first_name": "NEERAN",
        "authorized_official_middle_name": "YOUSIF",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-443-7140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erica Griffis Prime, LLP
• Priority One Urgent Cares PLLC
• Procare Home Health Services Inc.
• Professional Rehab Care, P.C. (United Physical Therapy and Rehabilitation, Inc.)
• Progressive Rehab Services Inc

• Internal Medicine Physician in Lathrup Village, MI
• Providers in Lathrup Village, 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 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.