Provider Demographics
NPI:1588799100
Name:ROCHESTER HILLS HEALTH SERVICES
Entity Type:Organization
Organization Name:ROCHESTER HILLS HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:DEVA
Authorized Official - Last Name:SAMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD MS MPH MBA
Authorized Official - Phone:248-852-9290
Mailing Address - Street 1:2840 CROOKS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3619
Mailing Address - Country:US
Mailing Address - Phone:248-852-9290
Mailing Address - Fax:248-852-0305
Practice Address - Street 1:80 GROSSE PINES DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-1828
Practice Address - Country:US
Practice Address - Phone:248-652-2363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301061131207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty