Organization
ROYAL HOME VISTING PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHSEN DJAMALI MD (CEO/PRESIDENT)
(313) 368-0668
Entity
Organization
Contact information
Practice address
3985 CANIFF ST, HAMTRAMCK, MI 48212-3184
(313) 368-0668
(313) 368-0568
Mailing address
3985 CANIFF ST, HAMTRAMCK, MI 48212-3184
(313) 368-0668
(313) 368-0568
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
—
MI
261QM2500X
Medical Specialty Clinic/Center
Primary
4301039115
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407991615
BLUE CROSS
MI
05
—
1407991615
—
MI
Enumeration date
11/05/2008
Last updated
07/21/2022
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