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Organization

IAMERICA MEDICAL

Active
Other names
IAMERICA
Organization subpart
No

Provider details

NPI number
Authorized official
RABIA LATIF (PRESIDENT)
(313) 307-0088
Entity
Organization

Contact information

Practice address
19451 W WARREN AVE, DETROIT, MI 48228-3361
(313) 307-0088
(734) 661-4501
Mailing address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(313) 558-9397
(734) 661-4501

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208D00000X
General Practice Physician
Primary
510100975
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386031581
MI
Enumeration date
04/25/2015
Last updated
06/04/2019
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