Organization
ELITE HOME PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANIA M BEYDOUN PA (OWNER)
(734) 956-5821
Entity
Organization
Contact information
Practice address
30108 FORD RD, GARDEN CITY, MI 48135-2370
(734) 956-5821
Mailing address
30108 FORD RD, GARDEN CITY, MI 48135-2370
(734) 956-5821
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301038699
MI
363A00000X
Physician Assistant
5601005435
MI
Other
Enumeration date
08/29/2010
Last updated
09/02/2010
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