Provider Demographics
NPI:1073995601
Name:CHOICE ONE MIHP, INC.
Entity Type:Organization
Organization Name:CHOICE ONE MIHP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SIRAJ
Authorized Official - Middle Name:SAYED
Authorized Official - Last Name:HAQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-295-5911
Mailing Address - Street 1:8750 TELEGRAPH RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-2397
Mailing Address - Country:US
Mailing Address - Phone:313-295-5911
Mailing Address - Fax:313-295-5920
Practice Address - Street 1:8750 TELEGRAPH RD
Practice Address - Street 2:SUITE 306
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-2397
Practice Address - Country:US
Practice Address - Phone:313-295-5911
Practice Address - Fax:313-295-5920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare