Healthcare Provider Details
I. General information
NPI: 1801487020
Provider Name (Legal Business Name): SAFE HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2021
Last Update Date: 09/11/2022
Certification Date: 09/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2981 HEALTH PKWY
MOUNT PLEASANT MI
48858-9347
US
IV. Provider business mailing address
2843 E GRAND RIVER AVE # 282
EAST LANSING MI
48823-6722
US
V. Phone/Fax
- Phone: 989-444-7233
- Fax: 989-444-7233
- Phone: 517-220-7233
- Fax: 517-220-7233
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAIF
M
FATTEH
Title or Position: OWNER
Credential: MD
Phone: 517-220-7233