Advanced Family Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADVANCED FAMILY CLINIC PLLC

Practice address

6636 N Telegraph Rd
Dearborn Heights, MI 48127-2200

Phone

(313) 274-3123

Fax

(313) 274-3343

NPI assigned

Feb 17, 2020

Organization subpart

No

Name

Haissam Ghaleb El-Takech, SAMIRA DGHAILYNPI 1841240538

Title

Office Manager

Phone

(313) 632-1351

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

• Haissam Ghabel El-Takech, M.D.

  • Pediatrics Physician
  • Dearborn Heights, MI
  • NPI 1841240538
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2020.

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1629601745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272200",
            "telephone_number": "313-632-1349",
            "fax_number": "313-274-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272200",
            "telephone_number": "313-274-3123",
            "fax_number": "313-274-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "EL-TAKECH",
        "authorized_official_first_name": "HAISSAM",
        "authorized_official_middle_name": "GHALEB",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-632-1351",
        "authorized_official_credential": "SAMIRA DGHAILY"
    },
    "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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• All providers in Dearborn Heights, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.