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General NPI Number Information
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NPI Number | 1033979471
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Entity Type | Organization
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Legal Business Name | CHRONIC CARE MANAGEMENT SOLUTIONS LLC
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 18000 W 9 MILE RD STE 375
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4085
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Country | US
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Telephone | 313-946-0006
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Fax | 313-946-0009
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Provider Business Mailing Address
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Address Line | 27139 STARKEY LN
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City | BROWNSTOWN TWP
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State | MI
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Zip | 48174-8501
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Country | US
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Telephone | 313-946-0006
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Fax | 313-946-0009
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Authorized Official
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Title or Position | DIRECTOR
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Name | SAMEERA SHAFIQ
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Credential |
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Telephone | 313-946-0006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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