Healthcare Provider Details

I. General information

NPI: 1699590075
Provider Name (Legal Business Name): HOME PHYSICIANS TEAM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 E MAPLE RD # 211
BIRMINGHAM MI
48009-6324
US

IV. Provider business mailing address

261 E MAPLE RD # 211
BIRMINGHAM MI
48009-6324
US

V. Phone/Fax

Practice location:
  • Phone: 947-800-5458
  • Fax: 313-486-0000
Mailing address:
  • Phone: 248-719-0103
  • Fax: 313-486-0000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SALVADOR ROJAS III
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 947-800-5458