Childrens and Family Medical Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHILDRENS AND FAMILY MEDICAL CLINIC PC

Practice address

8209 Allen Rd
Allen Park, MI 48101-1401

Phone

(313) 386-1500

Fax

(313) 386-1503

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Prem Dua, MD

Title

President

Phone

(313) 386-1500

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8026/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982826467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8542 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "800-827-3797",
            "fax_number": "248-553-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8209 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011401",
            "telephone_number": "313-386-1500",
            "fax_number": "313-386-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS AND FAMILY MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUA",
        "authorized_official_first_name": "PREM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-386-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Joy Chandler
• Kristen Chapman
• Valerie Ann Charette, BC-HIS
• Anika Chaudhry
• Layal H Chehab
• Lori Chiolino
• Chitter Chatter, P.C
• Theodora Chukwudi, FNP
• Sylvia Mary Cimino, RPT
• City of Allen Park

• Family Medicine Physician in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.