Organization
SPORTS MEDICINE ASSOCIATES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMI F RIFAT M.D. (MEMBER)
(248) 952-9200
Entity
Organization
Contact information
Practice address
37000 WOODWARD AVE, SUITE 300, BLOOMFIELD HILLS, MI 48304-0922
(248) 952-9200
(248) 952-9201
Mailing address
37000 WOODWARD AVE, SUITE 300, BLOOMFIELD HILLS, MI 48304-0922
(248) 952-9200
(248) 952-9201
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
SR056808
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080F316700
BCBS
MI
01
—
109591
PREFERRED CHOICES, RIFAT
MI
01
—
131746
PREFERRED CHOICES, MOELLE
MI
01
—
698099
PHCS
MI
01
—
P105321
BLUE CARE NETWORK, MOELLE
MI
01
—
P85088
BLUE CARE NETWORK, RIFAT
MI
Enumeration date
06/19/2006
Last updated
11/01/2013
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