Organization Active NPI

Downriver Family Care LLC

  • Internal Medicine Physician
  • Woodhaven, MI
National Provider Identifier
1760781009
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101006701 Issued in MI
Legal business name
DOWNRIVER FAMILY CARE LLC
Practice address
26375 Allen Rd
Woodhaven, MI 48183-4352
Phone
(734) 250-1285
Fax
(313) 945-5455
NPI assigned
Mar 25, 2011
Last updated
Mar 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Mr. Sadik Syed
Title
Ceo
Phone
(734) 250-1285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 5101006701 MI Primary

Addresses

Primary practice location

26375 Allen Rd
Woodhaven, MI 48183-4352

Mailing address

26375 Allen Rd
Woodhaven, MI 48183-4352
Phone (734) 250-1285

Other names 1

  • DOWNRIVER FAMILY CARE LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Downriver Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1760781009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26375 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481834352",
            "telephone_number": "734-250-1285",
            "fax_number": "313-945-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26375 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481834352",
            "telephone_number": "734-250-1285",
            "fax_number": "313-945-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SADIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-250-1285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101006701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOWNRIVER FAMILY CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.