Premier Pediatrics

Pediatrics Physician · Dearborn Heights, MI

Organization Active NPI

NPI number 1417407032

Practice location

22318 Ford Rd
Dearborn Heights, MI 48127-2421
Phone
(313) 278-2788
Fax
(313) 278-8215

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NPI record

NPI
1417407032
Entity type
Organization (Type 2)
Enumeration date
October 6, 2016
Last updated
October 6, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 5101016795 MI

Authorized official

Name
Dr. Mazen Naseeb Hamameh, DO
Title
Member Physician
Phone
(313) 278-2788

About Premier Pediatrics

Premier Pediatrics is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 22318 Ford Rd, Dearborn Heights, MI 48127-2421. The NPI number 1417407032 was assigned on October 6, 2016 and the record was last updated on October 6, 2016.

Premier Pediatrics lists a license in the registry: #5101016795 (MI) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Mazen Naseeb Hamameh, DO, Member Physician.

Frequently asked questions

What is the NPI number of Premier Pediatrics?

The NPI number is 1417407032.

What is the phone number of Premier Pediatrics?

The phone number listed for the practice location is (313) 278-2788.

Where is Premier Pediatrics located?

22318 Ford Rd, Dearborn Heights, MI 48127-2421.

What is the taxonomy code for Premier Pediatrics?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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