Provider Demographics
NPI:1427837046
Name:FAMWELL HEALTH PLLC
Entity type:Organization
Organization Name:FAMWELL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALEH
Authorized Official - Middle Name:M
Authorized Official - Last Name:AL AMEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-721-0646
Mailing Address - Street 1:4353 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3535
Mailing Address - Country:US
Mailing Address - Phone:313-908-9004
Mailing Address - Fax:
Practice Address - Street 1:4353 MAPLE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3535
Practice Address - Country:US
Practice Address - Phone:313-908-9004
Practice Address - Fax:313-908-7873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty