Active NPI
Natural Health Clini of Grosse Point
- Family Medicine Physician
- Saint Clair Shores, MI
National Provider Identifier
1780988501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301025718
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Saint Clair Shores, MI
- NPI 1740615632
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.