Healthcare Provider Details

I. General information

NPI: 1760659767
Provider Name (Legal Business Name): PEDIATRICS PLUS PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

37300 DEQUINDRE RD SUITE 202
STERLING HEIGHTS MI
48310-3591
US

IV. Provider business mailing address

37300 DEQUINDRE RD SUITE 202
STERLING HEIGHTS MI
48310-3591
US

V. Phone/Fax

Practice location:
  • Phone: 586-939-6899
  • Fax: 586-349-6079
Mailing address:
  • Phone: 586-939-6899
  • Fax: 586-349-6079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateMI

VIII. Authorized Official

Name: DR. ABDUR RASHEED
Title or Position: OWNER
Credential: MD
Phone: 586-939-6899