Provider Demographics
NPI:1891548236
Name:MEDCARE MEDICAL CENTER-REDFORD
Entity type:Organization
Organization Name:MEDCARE MEDICAL CENTER-REDFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:313-535-7880
Mailing Address - Street 1:23405 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-1433
Mailing Address - Country:US
Mailing Address - Phone:313-535-7880
Mailing Address - Fax:313-535-8388
Practice Address - Street 1:23405 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-1433
Practice Address - Country:US
Practice Address - Phone:313-535-7880
Practice Address - Fax:313-535-8388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty