Provider Demographics
NPI:1629153572
Name:CARING HOME DOCTORS PC
Entity Type:Organization
Organization Name:CARING HOME DOCTORS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-736-1153
Mailing Address - Street 1:40612 TAMARACK DR
Mailing Address - Street 2:104
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-2831
Mailing Address - Country:US
Mailing Address - Phone:734-736-1153
Mailing Address - Fax:734-448-1649
Practice Address - Street 1:40612 TAMARACK DR
Practice Address - Street 2:104
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-2831
Practice Address - Country:US
Practice Address - Phone:734-736-1153
Practice Address - Fax:734-448-1649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty