# AT HOME VISITING PHYSICIANS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366516957
- **Authorized official:** DR. ABDUL BASHIR MD (OWNER)
- **Authorized official phone:** (734) 829-9188

## Contact information

- **Practice address:** 23100 PROVIDENCE DRIVE, SUITE 216, SOUTHFIELD, MI 48075
- **Practice address phone:** (734) 829-9188
- **Practice address fax:** (734) 572-3228
- **Mailing address:** 23100 PROVIDENCE DRIVE, SUITE 216, SOUTHFIELD, MI 48075
- **Mailing address phone:** (734) 829-9188
- **Mailing address fax:** (734) 572-3228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2020