Heritage Medical Clinic PPLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HERITAGE MEDICAL CLINIC PPLC

Practice address

1159 E Michigan Ave Ste E
Ypsilanti, MI 48198-5807

Phone

(734) 483-9474

Fax

(734) 483-9464

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Walayat Khan

Title

Owner

Phone

(734) 483-9474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1982911830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 E MICHIGAN AVE STE E",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985807",
            "telephone_number": "734-483-9474",
            "fax_number": "734-483-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 E MICHIGAN AVE STE E",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985807",
            "telephone_number": "734-483-9474",
            "fax_number": "734-483-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL CLINIC PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "WALAYAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-483-9474"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Henry
• Jason Geoffrey Hepworth
• Vanessa Marie Hereford, M.D.
• Kellyn R Herendeen
• Heritage Home Care, Inc.
• James Andrew Herman, PT
• Bethany Hermiller, PHARMD
• Robert N. Hern, D.D.S.
• Alicia Hernandez-Harris
• Loida Jen Hernandez

• General Practice Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.