Provider Demographics
NPI:1205389384
Name:ELITE MEDICAL ENTERPRISES, INC.
Entity Type:Organization
Organization Name:ELITE MEDICAL ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-638-0064
Mailing Address - Street 1:7750 SCHAEFER RD STE 202
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1159
Mailing Address - Country:US
Mailing Address - Phone:313-638-0064
Mailing Address - Fax:313-483-9343
Practice Address - Street 1:7750 SCHAEFER RD STE 202
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1159
Practice Address - Country:US
Practice Address - Phone:313-638-0064
Practice Address - Fax:313-483-9343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty