Provider Demographics
NPI:1235908815
Name:HAMTRAMCK CARE P.L.C
Entity Type:Organization
Organization Name:HAMTRAMCK CARE P.L.C
Other - Org Name:HAMTRAMCK CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAZEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-768-7044
Mailing Address - Street 1:43219 TUSCANY DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1948
Mailing Address - Country:US
Mailing Address - Phone:313-768-7044
Mailing Address - Fax:
Practice Address - Street 1:12123 CONANT ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-2718
Practice Address - Country:US
Practice Address - Phone:313-768-7044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-25
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty