Provider Demographics
NPI:1396392320
Name:PREMIER INTEGRATED HEALTHCARE GROUP PLLC
Entity Type:Organization
Organization Name:PREMIER INTEGRATED HEALTHCARE GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUNIR
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-BECK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-854-5357
Mailing Address - Street 1:15101 SOUTHFIELD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-2664
Mailing Address - Country:US
Mailing Address - Phone:313-336-3180
Mailing Address - Fax:
Practice Address - Street 1:15101 SOUTHFIELD RD STE 105
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-2664
Practice Address - Country:US
Practice Address - Phone:313-336-3180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty