Provider Demographics
NPI:1720253354
Name:ADVANCED FAMILY CARE OF COMMERCE PLLC
Entity Type:Organization
Organization Name:ADVANCED FAMILY CARE OF COMMERCE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ARABBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-366-3700
Mailing Address - Street 1:4123 MARTIN RD
Mailing Address - Street 2:STE 102
Mailing Address - City:COMMERCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48390-4151
Mailing Address - Country:US
Mailing Address - Phone:248-366-3700
Mailing Address - Fax:248-360-1760
Practice Address - Street 1:4123 MARTIN RD
Practice Address - Street 2:STE 102
Practice Address - City:COMMERCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48390-4151
Practice Address - Country:US
Practice Address - Phone:248-366-3700
Practice Address - Fax:248-360-1760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1720253354OtherGROUP NPI
MI1316936008OtherINDIVIDUAL NPI