MEDICARE: APEX MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	4301086219	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487081642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX MEDICAL LLC

Provider Business Mailing Address
First Line	:	2116 S WAYNE RD
Second Line	:
City	:	WESTLAND
State	:	MI
Zip	:	48186-5428
Country	:	US
Telephone Number	:	734-629-8971
Fax Number	:	734-895-7047

Provider Business Practice Location Address
First Line	:	2116 S WAYNE RD
Second Line	:
City	:	WESTLAND
State	:	MI
Zip	:	48186-5428
Country	:	US
Telephone Number	:	734-629-8971
Fax Number	:	734-895-7047

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHAHINA ARIF MOTORWALA
Credential	:	M.D.
Telephone Number	:	734-560-4335

Provider Enumeration Date	:	10/02/2013
Last Update Date	:	10/08/2015

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Directions to “APEX MEDICAL LLC ” Practice Location

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