Advanced Family Clinic PLLC
Internal Medicine in Dearborn Heights, MI. Organization (NPI-2).
Details
- NPI
- 1629601745
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Family Clinic PLLC
- Organization subpart
- No
- Enumeration date
- Feb 17, 2020
- Certification date
- Feb 17, 2020
- Last updated
- Feb 17, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
6636 N Telegraph RdDearborn Heights, MI 48127-2200
Phone 313-274-3123 · Fax 313-274-3343
Mailing address
6636 N Telegraph RdDearborn Heights, MI 48127-2200
Phone 313-632-1349 · Fax 313-274-3343
Authorized official
Haissam Ghaleb El-Takech
Office Manager
3136321351
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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