Healthcare Provider Details

I. General information

NPI: 1962363432
Provider Name (Legal Business Name): ALL PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31208 BECK RD STE D
NOVI MI
48377-1022
US

IV. Provider business mailing address

PO BOX 4236
SOUTHFIELD MI
48037-4236
US

V. Phone/Fax

Practice location:
  • Phone: 248-960-0934
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DIANA EL MASRI
Title or Position: MANAGER
Credential:
Phone: 248-215-0048