Healthcare Provider Details

I. General information

NPI: 1083601082
Provider Name (Legal Business Name): METRO PARTNERS IN WOMENS HEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 06/02/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44000 W 12 MILE RD STE 205
NOVI MI
48377-2647
US

IV. Provider business mailing address

44000 W 12 MILE RD STE 205
NOVI MI
48377-2647
US

V. Phone/Fax

Practice location:
  • Phone: 248-662-4386
  • Fax: 248-319-5963
Mailing address:
  • Phone: 248-662-4386
  • Fax: 248-319-5963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateMI

VIII. Authorized Official

Name: ROZE SELMA KADRI
Title or Position: PRACTICE MANAGER
Credential:
Phone: 248-662-4386