Provider Demographics
NPI:1275129298
Name:VISITING PHYSICIANS OF MICHIGAN PLLC
Entity Type:Organization
Organization Name:VISITING PHYSICIANS OF MICHIGAN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:VASIQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-510-4086
Mailing Address - Street 1:8200 OLD 13 MILE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2172
Mailing Address - Country:US
Mailing Address - Phone:586-510-4086
Mailing Address - Fax:586-510-4222
Practice Address - Street 1:8200 OLD 13 MILE RD STE 110
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2172
Practice Address - Country:US
Practice Address - Phone:586-510-4086
Practice Address - Fax:586-510-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health