Organization
PRIME HEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUTAHHAR AHMAD MD (PRESIDENT)
(248) 840-7480
Entity
Organization
Contact information
Practice address
27620 FARMINGTON RD, SUITE B-10, FARMINGTON HILLS, MI 48334-3349
(248) 840-7480
(800) 660-6187
Mailing address
27620 FARMINGTON RD, SUITE B-10, FARMINGTON HILLS, MI 48334-3349
(248) 840-7480
(800) 660-6187
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301065663
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4756764
—
MI
Enumeration date
09/29/2006
Last updated
12/18/2007
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