MEDICARE: IMMI HEALTH CENTER PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1558144386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMMI HEALTH CENTER PLLC

Provider Business Mailing Address
First Line	:	5810 GRATIOT RD
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48638-6063
Country	:	US
Telephone Number	:	989-899-7254
Fax Number	:	989-899-7256

Provider Business Practice Location Address
First Line	:	5810 GRATIOT RD
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48638-6063
Country	:	US
Telephone Number	:	989-899-7254
Fax Number	:	989-899-7256

Authorized Official
Title or Position	:	LICENSED PHYSICIAN IN CHARGE
Name	:	DR. JAMAL FADHEL
Credential	:	MD
Telephone Number	:	989-906-1155

Provider Enumeration Date	:	08/15/2023
Last Update Date	:	02/11/2026

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Directions to “IMMI HEALTH CENTER PLLC ” Practice Location

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