NPI

Hazel Park Primary Care Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2019-06-27
Last updated
2023-08-14

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
624 E 9 Mile Rd Ste B
City
Hazel Park MI
Postal code
48030-1842
Phone
(248) 629-7497

Organization contact

Name
MOHAMED SALEH
Title
President
Phone
2486297497

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Hazel Park, MI. 193 records in the public file.

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