# VISITING PHYSICIANS ASSOCIATES PC

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

## Provider details

- **NPI number:** 1679734461
- **Authorized official:** DR. FAZLOLAH NICKHAH M.D. (OWNER)
- **Authorized official phone:** (734) 477-9030

## Contact information

- **Practice address:** 3150 PACKARD RD, YPSILANTI, MI 48197-1994
- **Practice address phone:** (734) 477-9030
- **Practice address fax:** (734) 477-9032
- **Mailing address:** 3150 PACKARD RD, YPSILANTI, MI 48197-1994
- **Mailing address phone:** (734) 477-9030
- **Mailing address fax:** (734) 477-9032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2008
- **Last updated:** 06/24/2008