Provider Demographics
NPI:1568488062
Name:THE HEALTH TEAM INC.
Entity type:Organization
Organization Name:THE HEALTH TEAM INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ASIF
Authorized Official - Middle Name:MAJEED
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-862-2939
Mailing Address - Street 1:18272 LIVERNOIS AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-2773
Mailing Address - Country:US
Mailing Address - Phone:313-862-2939
Mailing Address - Fax:313-862-2476
Practice Address - Street 1:18272 LIVERNOIS AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-2773
Practice Address - Country:US
Practice Address - Phone:313-862-2939
Practice Address - Fax:313-862-2476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI30484OtherBCBS
MI236660Medicare ID - Type Unspecified
MI236660Medicare Oscar/Certification