# HERITAGE MEDICAL GROUP

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

## Provider details

- **NPI number:** 1407803927
- **Authorized official:** FARZIN R NAMEI MD (OWNER)
- **Authorized official phone:** (586) 443-5588

## Contact information

- **Practice address:** 22301 KELLY RD, EASTPOINTE, MI 48021-2619
- **Practice address phone:** (586) 443-5588
- **Practice address fax:** (586) 443-5538
- **Mailing address:** PO BOX 3148, FARMINGTON HILLS, MI 48333-3148
- **Mailing address phone:** (586) 443-5588
- **Mailing address fax:** (586) 443-5538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2006
- **Last updated:** 01/23/2008