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CLARKSTON MEDICAL CLINIC PC
NPI 1396881827
Family Medicine in Clarkston, MI

Active since January 30, 2007
5790 S MAIN STREET, STE J, CLARKSTON, MI 48346(248) 625-8220(248) 625-6646 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clarkston Medical Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSTON MEDICAL CLINIC PC (NPI 1396881827) is a healthcare organization registered as a family medicine in Clarkston, Michigan and active in the NPI registry since January 2007. The organization lists Tarlika C Dhabuwala, President, as its authorized official.

NPPES Registry Identity

NPI1396881827
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLARKSTON MEDICAL CLINIC PC
Location Address5790 S MAIN STREET, STE JClarkston, MI 48346
Mailing Address5790 S Main Street, Ste JClarkston, MI 48346 · (248) 625-8220 · Fax (248) 625-6646
Phone(248) 625-8220
Fax(248) 625-6646
Organization SubpartNo
Authorized OfficialTarlika C DhabuwalaPresident · (248) 625-8220
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396881827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · TD040084
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5790 S MAIN STREET, Clarkston, MI 48346
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarkston Medical Clinic PC's NPI number?

The NPI number for Clarkston Medical Clinic PC is 1396881827. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Clarkston Medical Clinic PC located?

Clarkston Medical Clinic PC is located at 5790 S Main Street Ste J, Clarkston, MI 48346. The listed phone number is (248) 625-8220.

What is Clarkston Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Clarkston Medical Clinic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.