Healthcare Provider Details
I. General information
NPI: 1992995476
Provider Name (Legal Business Name): CARE WITH COMPASSION PHYSICIAN GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2007
Last Update Date: 03/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4123 MARTIN RD STE 102
COMMERCE TWP MI
48390-4151
US
IV. Provider business mailing address
4123 MARTIN RD STE 102
COMMERCE TWP MI
48390-4151
US
V. Phone/Fax
- Phone: 248-366-3700
- Fax: 248-360-1760
- Phone: 248-366-3700
- Fax: 248-360-1760
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 4301065973 |
| License Number State | MI |
VIII. Authorized Official
Name: DR.
ADIL
ARABBO
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 248-765-6575