BEECH DALY MEDICAL CENTER, PLLC (NPI# 1326160433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326160433 |
Entity Type | Organization |
Organization Name | BEECH DALY MEDICAL CENTER, PLLC |
Practice Address |
23850 Van Born Rd Dearborn Heights MI 48125-2325 |
Mailing Address |
23850 Vanbron Dearborn Heights MI 48125-2325 |
Practice Telephone | 3132787750 |
Practice Fax Number | 3132788729 |
Mailing Telephone | 3132787750 |
Mailing Fax Number | 3132788729 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2013-02-20 |
Authorized Official Name | DR. VIJAYALAKSMI THANDRA (PRESIDENT) |
Authorized Official Telephone | 3132787750 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 4301058459 | MI | Allopathic & Osteopathic Physicians |
Street Address |
23850 VAN BORN RD |
City | DEARBORN HEIGHTS |
State | MI |
Zip Code | 48125-2325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902329501 | Academic Hematology Oncology, PC | Clinic/Center | 23850 Van Born Rd, Dearborn Heights, MI 48125-2325 | 2017-07-25 |
1033639109 | Clinic Rx 2 LLC | Pharmacy | 23850 Van Born Rd, Dearborn Heights, MI 48125 | 2017-06-21 |
1518353739 | Fuad Rahimee Md PC | Internal Medicine | 23850 Van Born Rd, Dearborn Heights, MI 48125-2325 | 2015-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
1558811331 | Jacquelyn Elyoussef | Technician, Other | 3930 Academy St, Dearborn Heights, MI 48125 | 2016-10-05 |
1386856375 | Amerigard Development Corporation | Family Medicine | 23850 Van Born Road, Dearborn Heights, MI 48125 | 2007-05-04 |
1922140490 | Marie C Petricca | Social Worker | 20382 Van Born Road, Catholic Social Services of Wayne County, Dearborn Heights, MI 48125 | 2007-02-13 |
1528025871 | David L Cooley | Family Medicine | 3902 Monroe, Dearborn Heights, MI 48125 | 2006-04-28 |
1013998251 | Masha-moss Inc | Pharmacy | 4245 S Beech Daly Rd, Dearborn Heights, MI 48125 | 2005-11-06 |
1932639176 | Olivia J. Furnas | Midwife | 18101 Oakwood Blvd, Dearborn, MI 48125 | 2017-06-19 |
1083099303 | Holistic Healer Health Coaching LLC | Nutritionist | 3998 Clippert St, Dearborn Heights, MI 48125 | 2015-07-28 |
1396255915 | Lillian Drushelia Herzberg | Registered Nurse | 26827 Annapolis St, Dearborn Hts, MI 48125-1201 | 2017-10-10 |
1801168588 | Cheryl A Leonard | Occupational Therapy Assistant | 26532 Powers Ave, Dearborn Heights, MI 48125-1304 | 2012-01-27 |
Find all providers in zip 48125 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477768661 | Corrine L. Adler, Do PC | General Practice | 2014 N Beech Daly Rd, Dearborn Heights, MI 48127-3405 | 2007-05-11 |
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City | DEARBORN HEIGHTS |
Zip Code | 48125 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.