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General NPI Number Information
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NPI Number | 1043345374
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE MEDICAL CENTER P C
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 33000 PALMER ROAD
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City | WESTLAND
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State | MI
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Zip | 48186
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Country | US
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Telephone | 734-729-1800
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Fax | 734-729-8030
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Provider Business Mailing Address
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Address Line | 33000 PALMER ROAD
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City | WESTLAND
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State | MI
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Zip | 48186
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Country | US
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Telephone | 734-729-1800
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Fax | 734-729-8030
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. ADIB OMAR ABDOLKARIM
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Credential | M.D.
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Telephone | 734-729-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301059759
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AA059759
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License Number State | MI
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