# ICARE MEDICAL CLINIC PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1487231833
- **Authorized official:** MS. SIHAM KIWAN (MANAGER)
- **Authorized official phone:** (313) 415-8684

## Contact information

- **Practice address:** 27209 LAHSER RD STE 225, SOUTHFIELD, MI 48034-8401
- **Practice address phone:** (248) 450-3493
- **Practice address fax:** (248) 450-3495
- **Mailing address:** 5250 KELLEN LN, BLOOMFIELD HILLS, MI 48302-2738
- **Mailing address phone:** (313) 415-8684
- **Mailing address fax:** (248) 450-3495

## Taxonomy

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

## Other

- **Enumeration date:** 03/24/2021
- **Last updated:** 04/19/2022