Healthcare Provider Details

I. General information

NPI: 1629446315
Provider Name (Legal Business Name): WOMENS HEALTH ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2015
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25150 FORD RD STE 110
DEARBORN HEIGHTS MI
48127-3163
US

IV. Provider business mailing address

25150 FORD RD STE 110
DEARBORN HEIGHTS MI
48127-3163
US

V. Phone/Fax

Practice location:
  • Phone: 313-284-0822
  • Fax:
Mailing address:
  • Phone: 132-840-8223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MONA FAKIH
Title or Position: SOLE MEMBER
Credential: DO,RPH, F.A.C.O.O.G
Phone: 313-277-0400