Provider Demographics
NPI:1386889954
Name:HPC HEALTH PLLC
Entity type:Organization
Organization Name:HPC HEALTH PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SARMED
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:SINAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-865-7481
Mailing Address - Street 1:22990 PONTIAC TRL
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-1641
Mailing Address - Country:US
Mailing Address - Phone:248-865-7481
Mailing Address - Fax:
Practice Address - Street 1:22990 PONTIAC TRL
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-1641
Practice Address - Country:US
Practice Address - Phone:248-865-7481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301089004207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI173924OtherGREAT LAKES
MI1603854OtherFIRST HEALTH/COVENTRY
MI50689OtherHEALTH PLUS
MI978OtherTOTAL HEALTH CARE
MI1386889954Medicaid
MI080F369280OtherBCBS GROUP
MI1603854OtherFIRST HEALTH/COVENTRY