# NEUROLOGY CARE CENTER PC

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

## Provider details

- **NPI number:** 1568707594
- **Authorized official:** SUHEB M HASAN MD (OWNER/PRESIDENT)
- **Authorized official phone:** (313) 593-3915

## Contact information

- **Practice address:** 3815 PELHAM ST, DEARBORN, MI 48124-3852
- **Practice address phone:** (313) 593-3915
- **Practice address fax:** (313) 593-3810
- **Mailing address:** 3815 PELHAM ST, DEARBORN, MI 48124-3852
- **Mailing address phone:** (313) 593-3915
- **Mailing address fax:** (313) 593-3810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician | 4301088848 | MI | Yes |

## Other

- **Enumeration date:** 12/03/2012
- **Last updated:** 11/03/2013