Provider Demographics
NPI:1922124320
Name:HOME VP INC
Entity Type:Organization
Organization Name:HOME VP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AWAISI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-569-0749
Mailing Address - Street 1:16000 W 9 MILE RD STE 311
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:248-569-0751
Practice Address - Street 1:16000 W 9 MILE RD
Practice Address - Street 2:SUITE # 313
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4808
Practice Address - Country:US
Practice Address - Phone:248-569-0749
Practice Address - Fax:248-569-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherTAX ID