Provider Demographics
NPI:1063260420
Name:TOTAL HEALTH SERVICE PC
Entity type:Organization
Organization Name:TOTAL HEALTH SERVICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:SADEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-256-3725
Mailing Address - Street 1:26940 HAVELOCK DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3639
Mailing Address - Country:US
Mailing Address - Phone:586-256-3725
Mailing Address - Fax:
Practice Address - Street 1:26940 HAVELOCK DR
Practice Address - Street 2:
Practice Address - City:DEARBORN HTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3639
Practice Address - Country:US
Practice Address - Phone:586-256-3725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service