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DETROIT MEDICAL CENTER
NPI 1770869257
Physician Assistant - Surgical in Detroit, MI

Active since October 27, 2011
4201 SAINT ANTOINE ST STE 6A, DRH UNIVERSITY HEALTH CENTER, DETROIT, MI 48201(313) 745-4230 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Detroit Medical Center NPPES

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

DETROIT MEDICAL CENTER (NPI 1770869257) is a healthcare organization registered as a surgical in Detroit, Michigan and active in the NPI registry since October 2011. The organization lists Cheryl Kelley, Manager, Credentialing And Enrollme, as its authorized official.

NPPES Registry Identity

NPI1770869257
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameDETROIT MEDICAL CENTER
Location Address4201 SAINT ANTOINE ST STE 6A, DRH UNIVERSITY HEALTH CENTERDetroit, MI 48201-2153
Mailing Address24131 Princeton StDearborn, MI 48124-3264
Phone(313) 745-4230
Organization SubpartNo
Authorized OfficialCheryl KelleyManager, Credentialing And Enrollme · (313) 993-6080
Enumeration DateOctober 27, 2011
✔ NPI 1770869257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MI · 5601006086
4201 SAINT ANTOINE ST STE 6A, Detroit, MI 48201
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAHEENA RAHEEM
Internal Medicine
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
RENATO ROXAS JR MD
Internal Medicine
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4525
MARIAM ZUNNU RAIN
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
SARIEN NASSAR
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
ALHUSSAIN SAEED MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
DR. AMANAH SANA FATIMA DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
SILVIA S NOVAKOVA
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
ADRIANNA TAWEEL DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627

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 Detroit Medical Center's NPI number?

The NPI number for Detroit Medical Center is 1770869257. It was assigned to this organization in the NPPES registry on October 27, 2011.

Where is Detroit Medical Center located?

Detroit Medical Center is located at 4201 Saint Antoine St Ste 6A Drh University Health Center, Detroit, MI 48201. The listed phone number is (313) 745-4230.

What is Detroit Medical Center's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Detroit Medical Center was last updated on October 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.