Provider Demographics
NPI:1427352806
Name:ROCHESTER HILLS MEDICAL CENTER, P.C.
Entity type:Organization
Organization Name:ROCHESTER HILLS MEDICAL CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:DEVA
Authorized Official - Last Name:SAMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD MS MPH MBA MRO
Authorized Official - Phone:248-852-9290
Mailing Address - Street 1:2820 CROOKS RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3620
Mailing Address - Country:US
Mailing Address - Phone:248-852-9290
Mailing Address - Fax:248-852-0305
Practice Address - Street 1:2820 CROOKS RD
Practice Address - Street 2:SUITE 400
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-3620
Practice Address - Country:US
Practice Address - Phone:248-852-9290
Practice Address - Fax:248-852-0305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care