Provider Demographics
NPI:1932236809
Name:VERNOR HEALTH CENTER PC
Entity Type:Organization
Organization Name:VERNOR HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
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:248-762-8982
Mailing Address - Street 1:6061 W VERNOR HWY
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48209-2085
Mailing Address - Country:US
Mailing Address - Phone:248-762-8982
Mailing Address - Fax:
Practice Address - Street 1:6061 W VERNOR HWY
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48209-2085
Practice Address - Country:US
Practice Address - Phone:248-762-8982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center