Organization
GREAT LAKES FAMILY MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMITABH PAHARIA MD (OWNER)
(313) 369-1500
Entity
Organization
Contact information
Practice address
4420 E DAVISON ST, DETROIT, MI 48212-1744
(313) 369-1500
(313) 369-1205
Mailing address
4420 E DAVISON ST, DETROIT, MI 48212-1744
(313) 369-1500
(313) 369-1205
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2008
Last updated
09/04/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us