Organization
MICHIGAN LUNG & SLEEP ASSOCIATION PC
Active
Organization
MICHIGAN LUNG & SLEEP ASSOCIATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULRAZAK F ALCHAKAKI MD (OWNER/PROVIDER)
(248) 909-7737
Entity
Organization
Contact information
Practice address
26342 GIBRALTAR RD, FLAT ROCK, MI 48134-1522
(734) 346-0151
Mailing address
6300 N HAGGERTY RD STE 210, CANTON, MI 48187-4472
(248) 909-7737
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265010227
—
MI
Enumeration date
03/31/2021
Last updated
09/09/2021
Update your record
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