Healthcare Provider Details
I. General information
NPI: 1215245527
Provider Name (Legal Business Name): GLOBAL MEDICAL SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2010
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22819 MICHIGAN AVE
DEARBORN MI
48124-2007
US
IV. Provider business mailing address
22819 MICHIGAN AVE
DEARBORN MI
48124-2007
US
V. Phone/Fax
- Phone: 313-769-5820
- Fax: 313-769-5815
- Phone: 313-769-5820
- Fax: 313-769-5815
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 4301095809 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | 4301095809 |
| License Number State | MI |
VIII. Authorized Official
Name:
SAYED
RAOOF
ABEDI
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 313-769-5820