262 Center LLC
Organization Active NPI Clinic/Center · Southfield, MI
NPI 1912628397 · NPPES record last updated Sep 6, 2022
Key facts
- NPI
- 1912628397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- 262 CENTER LLC
- Practice address
- 26206 W 12 Mile Rd Ste 200
Southfield, MI 48034-8500 - Phone
- (313) 344-0663
- NPI assigned
- Sep 6, 2022
- Organization subpart
- No
Authorized official
- Name
- Bachu Abraham, MD
- Title
- Member
- Phone
- (313) 344-0663
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
26206 W 12 Mile Rd Ste 200
Southfield, MI 48034-8500
Mailing address
PO Box 2705
Southfield, MI 48037-2705
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.