Organization Active NPI

Fatima Health Care,P.C.

  • Primary Care Clinic/Center
  • Dearborn, MI
National Provider Identifier
1629003132
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
5601003140 Issued in MI
Legal business name
FATIMA HEALTH CARE,P.C.
Practice address
4789 Westland St
Dearborn, MI 48126-2809
Phone
(313) 582-0217
NPI assigned
Jul 12, 2006
Last updated
Oct 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Inshad H BeydounNPI 1417995507
Title
Owner
Phone
(313) 582-0217

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 5601003140 MI Primary

Addresses

Primary practice location

4789 Westland St
Dearborn, MI 48126-2809

Mailing address

1135 Falcon St
Dearborn, MI 48128-1341
Phone (313) 582-0217

Other identifiers 1

IdentifierTypeStateIssuer
080H232870OtherMIBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1629003132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 FALCON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281341",
            "telephone_number": "313-582-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4789 WESTLAND ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262809",
            "telephone_number": "313-582-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATIMA HEALTH CARE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "INSHAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-582-0217"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "5601003140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080H232870",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.