# KAWAR ADVANCED MEDICAL CLINIC PLLC

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

## Provider details

- **NPI number:** 1538838941
- **Authorized official:** DR. LAMA KAWAR DO (DELIGATED OFFICIAL)
- **Authorized official phone:** (313) 703-4113

## Contact information

- **Practice address:** 6200 CHASE RD, DEARBORN, MI 48126-2108
- **Practice address phone:** (313) 278-0600
- **Mailing address:** PO BOX 221, DEARBORN HEIGHTS, MI 48127-0221
- **Mailing address phone:** (313) 278-0600

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 09/09/2021