Organization Active NPI

Natural Health Clini of Grosse Point

  • Family Medicine Physician
  • Saint Clair Shores, MI
National Provider Identifier
1780988501
Registry record updated Jan 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301025718 Issued in MI
Legal business name
NATURAL HEALTH CLINI OF GROSSE POINT
Practice address
24025 Greater Mack Ave
Ste 204
Saint Clair Shores, MI 48080-1484
Phone
(586) 944-2064
NPI assigned
Jan 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2011

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

Authorized official

Name
Dr. Ramfis B Fahim, M.D
Title
President
Phone
(586) 944-2064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301025718 MI Primary

Addresses

Primary practice location

24025 Greater Mack Ave
Ste 204
Saint Clair Shores, MI 48080-1484

Mailing address

30301 Woodward Ave
Ste 115
Royal Oak, MI 48073-0979

National Provider Directory

National Provider Directory
Tax ID family
Holistic Health Clinic of Grosse Pointe PC2 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.

Locations

24025 Greater Mack Ave
Ste 204
Saint Clair Shores, MI 48080
Phone (586) 944-2064

NPI Registry JSON

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

{
    "created_epoch": "1294531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294531200000",
    "number": "1780988501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30301 WOODWARD AVE",
            "address_2": "STE 115",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24025 GREATER MACK AVE",
            "address_2": "STE 204",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801484",
            "telephone_number": "586-944-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL HEALTH CLINI OF GROSSE POINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-09",
        "last_updated": "2011-01-09",
        "status": "A",
        "authorized_official_last_name": "FAHIM",
        "authorized_official_first_name": "RAMFIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-944-2064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301025718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.