ADVANCED OB-GYN OF DEARBORN, P.C. (NPI# 1831430909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831430909 |
| Entity Type | Organization |
| Organization Name | ADVANCED OB-GYN OF DEARBORN, P.C. |
| Practice Address |
2263 Pinecroft Dr Unit 216 Canton MI 48188-2247 |
| Mailing Address |
2421 Monroe St Dearborn MI 48124-3043 |
| Practice Telephone | 5014129552 |
| Mailing Telephone | 3134470511 |
| Mailing Fax Number | 3134470496 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | DR. GHAZALA AZAM AHMED (PRESIDENT) |
| Authorized Official Telephone | 5014129552 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
2263 PINECROFT DR UNIT 216 |
| City | CANTON |
| State | MI |
| Zip Code | 48188-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1760810287 | Davis Family Health Care | Clinic/Center | 162 Feather Ln Ste E, Canton, MS 39046-8510 | 2013-10-18 |
| 1801075338 | Canton Professional Services, Inc. | Clinic/Center | 5900 N. Lilley Rd, Suite 104, Canton, MI 48187-3971 | 2007-11-01 |
| 1902096381 | Delta Group of Michigan Inc | Clinic/Center | 41148 Williamsburg Blvd, Canton, MI 48187-3963 | 2007-07-31 |
| 1619042017 | Rdm Center, Inc. | Clinic/Center | 5820 N Lilley Rd, Suite 7, Canton, MI 48187-3686 | 2006-11-21 |
| 1366402422 | Ican Inc. | Clinic/Center | 1214 Market Ave N, Canton, OH 44714-2604 | 2006-03-24 |
| 1639146095 | Domestic Violence Project, Inc | Clinic/Center | 720 19th St Ne, Canton, OH 44714-2213 | 2006-03-03 |
| 1467432765 | United Cerebral Palsy Association of The North Country, Inc. | Clinic/Center | 4 Commerce Ln, Canton, NY 13617-3739 | 2006-01-20 |
| 1336706506 | North East Ohio Endoscopy Center Inc | Clinic/Center | 4124 Munson St Nw, Canton, OH 44718-4804 | 2019-05-23 |
| 1710447982 | You Matter Adolescent Women Clinic | Clinic/Center | 3089 S Liberty St, Canton, MS 39046-9224 | 2019-03-22 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on ADVANCED OB-GYN OF DEARBORN, P.C..
| 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.