Provider Demographics
NPI:1326153578
Name:COMPASSIONATE DOCTORS PC
Entity Type:Organization
Organization Name:COMPASSIONATE DOCTORS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SARADR
Authorized Official - Middle Name:WAHEED
Authorized Official - Last Name:ASHRAFKHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-323-4444
Mailing Address - Street 1:16000 W 9 MILE RD STE 313
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4835
Mailing Address - Country:US
Mailing Address - Phone:248-569-0749
Mailing Address - Fax:248-269-0751
Practice Address - Street 1:16000 W 9 MILE RD SUITE# 313
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4835
Practice Address - Country:US
Practice Address - Phone:248-569-0749
Practice Address - Fax:248-269-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty