Provider Demographics
NPI:1154012581
Name:KARE CLINIC MD PLLC
Entity type:Organization
Organization Name:KARE CLINIC MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAGY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHEIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-410-4997
Mailing Address - Street 1:14049 E 13 MILE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-5876
Mailing Address - Country:US
Mailing Address - Phone:248-410-4997
Mailing Address - Fax:
Practice Address - Street 1:14049 E 13 MILE RD STE 1
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-5876
Practice Address - Country:US
Practice Address - Phone:248-410-4997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2024-02-17
Deactivation Date:2023-05-29
Deactivation Code:
Reactivation Date:2023-06-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty