Provider Demographics
NPI:1962501999
Name:BRIGHTON PRIMARY CARE L L C
Entity Type:Organization
Organization Name:BRIGHTON PRIMARY CARE L L C
Other - Org Name:BRIGHTON PRIMARY CARE L L C
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FALIH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZANGY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-227-5008
Mailing Address - Street 1:8609 W GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-4398
Mailing Address - Country:US
Mailing Address - Phone:810-227-5008
Mailing Address - Fax:810-229-8685
Practice Address - Street 1:8609 W GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-4398
Practice Address - Country:US
Practice Address - Phone:810-227-5008
Practice Address - Fax:810-229-8685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty