# ROYAL HOME VISTING PHYSICIANS, P.C.

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

## Provider details

- **NPI number:** 1477707305
- **Authorized official:** DR. MOHSEN DJAMALI MD (CEO/PRESIDENT)
- **Authorized official phone:** (313) 368-0668

## Contact information

- **Practice address:** 3985 CANIFF ST, HAMTRAMCK, MI 48212-3184
- **Practice address phone:** (313) 368-0668
- **Practice address fax:** (313) 368-0568
- **Mailing address:** 3985 CANIFF ST, HAMTRAMCK, MI 48212-3184
- **Mailing address phone:** (313) 368-0668
- **Mailing address fax:** (313) 368-0568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175L00000X | Homeopath | — | MI | — |
| 261QM2500X | Medical Specialty Clinic/Center | 4301039115 | MI | Yes |

## Other

- **Enumeration date:** 11/05/2008
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1407991615 | BLUE CROSS | MI |
| 05 | — | 1407991615 | — | MI |