# ELITE HOME PHYSICIANS PLLC

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

## Provider details

- **NPI number:** 1811203789
- **Authorized official:** MRS. RANIA M BEYDOUN PA (OWNER)
- **Authorized official phone:** (734) 956-5821

## Contact information

- **Practice address:** 30108 FORD RD, GARDEN CITY, MI 48135-2370
- **Practice address phone:** (734) 956-5821
- **Mailing address:** 30108 FORD RD, GARDEN CITY, MI 48135-2370
- **Mailing address phone:** (734) 956-5821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301038699 | MI | Yes |
| 363A00000X | Physician Assistant | 5601005435 | MI | — |

## Other

- **Enumeration date:** 08/29/2010
- **Last updated:** 09/02/2010