MEDICARE: CANTON FAMILY HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1275104333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANTON FAMILY HEALTH LLC

Provider Business Mailing Address
First Line	:	6698 KINGS MILL DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-5473
Country	:	US
Telephone Number	:	313-283-1019
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 N HAGGERTY RD STE 220
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-4472
Country	:	US
Telephone Number	:	313-283-1019
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SAMIH AJAMI
Credential	:	DO
Telephone Number	:	313-283-1019

Provider Enumeration Date	:	07/08/2021
Last Update Date	:	03/03/2026

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Directions to “CANTON FAMILY HEALTH LLC ” Practice Location

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