Provider Demographics
NPI:1093329849
Name:HEY DOC, P.C.
Entity Type:Organization
Organization Name:HEY DOC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARIF
Authorized Official - Middle Name:
Authorized Official - Last Name:SADIQI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-666-1113
Mailing Address - Street 1:1431 WASHINGTON BLVD APT 2510
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48226-1729
Mailing Address - Country:US
Mailing Address - Phone:313-666-1113
Mailing Address - Fax:
Practice Address - Street 1:1431 WASHINGTON BLVD APT 2510
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-1729
Practice Address - Country:US
Practice Address - Phone:313-666-1113
Practice Address - Fax:313-666-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1235624248Medicaid