Provider Demographics
NPI:1275720716
Name:ATTAR MD PC
Entity Type:Organization
Organization Name:ATTAR MD PC
Other - Org Name:BURHANI MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-427-9200
Mailing Address - Street 1:15712 FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-2858
Mailing Address - Country:US
Mailing Address - Phone:734-427-9200
Mailing Address - Fax:734-427-9205
Practice Address - Street 1:32910 W 13 MILE RD STE A101
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1981
Practice Address - Country:US
Practice Address - Phone:734-427-9200
Practice Address - Fax:734-437-9094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301067384261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty