Provider Demographics
NPI:1386680502
Name:ADVANCED MEDICAL CENTER PLLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SALEH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-849-3100
Mailing Address - Street 1:10140 W VERNOR HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48120
Mailing Address - Country:US
Mailing Address - Phone:313-849-3100
Mailing Address - Fax:313-899-7099
Practice Address - Street 1:4132 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3683
Practice Address - Country:US
Practice Address - Phone:313-849-3100
Practice Address - Fax:313-899-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
110H228590OtherBCBS
MI4314627OtherAETNA
MI4897717Medicaid
MI00000001285OtherCAPE
MIDG2904OtherRAILROAD MEDICARE GROUP
MIE77778OtherHAP
MI143044OtherGREAT LAKES
MI7761OtherTOTAL HEALTH CARE
MI011248OtherMIDWEST
MI131038OtherCARE CHOICES
MIC7669OtherMCARE
MI131038OtherCARE CHOICES
MI7761OtherTOTAL HEALTH CARE