Healthcare Provider Details

I. General information

NPI: 1700094687
Provider Name (Legal Business Name): ROCHESTER HILLS MEDICAL CENTER P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 CROOKS RD SUITE 400
ROCHESTER HILLS MI
48309
US

IV. Provider business mailing address

2828-CROOKS ROAD, SUITE 400
ROCHESTER HILLS MI
48309
US

V. Phone/Fax

Practice location:
  • Phone: 248-852-9290
  • Fax: 248-852-0305
Mailing address:
  • Phone: 248-852-9290
  • Fax: 248-852-0305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateMI

VIII. Authorized Official

Name: DR. CHRIS D SAMY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 248-852-9290