# ALLEN PRIMARY PODIATRY

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

## Provider details

- **NPI number:** 1699432286
- **Authorized official:** ALEX BOUHACHEM DPM (CEO)
- **Authorized official phone:** (734) 895-4530

## Contact information

- **Practice address:** 23801 W WARREN ST STE 102, DEARBORN HEIGHTS, MI 48127-2277
- **Practice address phone:** (734) 895-4530
- **Practice address fax:** (313) 447-3234
- **Mailing address:** 1813 N ROSEVERE AVE, DEARBORN, MI 48128-1242
- **Mailing address phone:** (734) 895-4530
- **Mailing address fax:** (313) 447-3234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2021
- **Last updated:** 02/16/2023