# HOUSECALL PHYSICIANS OF SOUTHWEST MICHIGAN PLC

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

## Provider details

- **NPI number:** 1669682951
- **Authorized official:** DR. BAHRAM ELAMI MD (SINGLE MEMBER)
- **Authorized official phone:** (269) 327-3700

## Contact information

- **Practice address:** 5084 LOVERS LN, PORTAGE, MI 49002-1557
- **Practice address phone:** (269) 327-3700
- **Practice address fax:** (269) 323-0229
- **Mailing address:** PO BOX 1147, PORTAGE, MI 49081-1147
- **Mailing address phone:** (269) 327-3700
- **Mailing address fax:** (269) 323-0229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301068834 | MI | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 07/31/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 340020811 | MEDICARE RAIL ROAD | MI |
| 05 | — | 4421824 | — | MI |