Healthcare Provider Details

I. General information

NPI: 1790794782
Provider Name (Legal Business Name): DIGESTIVE HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 S ROCHESTER RD
ROCHESTER HILLS MI
48307-4547
US

IV. Provider business mailing address

2700 S ROCHESTER RD
ROCHESTER HILLS MI
48307-4547
US

V. Phone/Fax

Practice location:
  • Phone: 248-844-2600
  • Fax: 248-844-0991
Mailing address:
  • Phone: 248-844-2600
  • Fax: 248-844-0991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAMIR ALHADIDI
Title or Position: OWNER
Credential: MD
Phone: 248-844-2600