GREAT LAKES FAMILY MEDICAL CENTER PLLC
NPI 1982881025
Clinic/Center - Primary Care in Detroit, MI

Active since January 30, 2008
4420 E DAVISON ST, DETROIT, MI 48212(313) 369-1500(313) 369-1205 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Lakes Family Medical Center Pllc NPPES

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

GREAT LAKES FAMILY MEDICAL CENTER PLLC (NPI 1982881025) is a healthcare organization registered as a primary care in Detroit, Michigan and active in the NPI registry since January 2008. The organization lists Amitabh Paharia, Owner, as its authorized official.

NPPES Registry Identity

NPI1982881025
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGREAT LAKES FAMILY MEDICAL CENTER PLLC
Location Address4420 E DAVISON STDetroit, MI 48212-1744
Mailing Address4420 E Davison StDetroit, MI 48212-1744 · (313) 369-1500 · Fax (313) 369-1205
Fax(313) 369-1205
Organization SubpartNo
Authorized OfficialAmitabh PahariaOwner · (313) 369-1500
Enumeration DateJanuary 30, 2008
Last NPPES UpdateSeptember 4, 2013
NPI 1982881025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
4420 E DAVISON ST, Detroit, MI 48212

Accepted Insurance

Other Providers at the Same Location NPPES 16

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

Family Medicine
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Physician Assistant
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Family Medicine
4420 E DAVISON ST
DETROIT, MI 48212
Nurse Practitioner (Family)
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Pharmacy (Community/Retail Pharmacy)
4420 E DAVISON ST
DETROIT, MI 48212
Family Medicine
4420 E DAVISON ST
DETROIT, MI 48212
Family Medicine
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Family Medicine
4420 E DAVISON ST
DETROIT, MI 48212

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 Great Lakes Family Medical Center PLLC's NPI number?

The NPI number for Great Lakes Family Medical Center PLLC is 1982881025. It was assigned to this organization in the NPPES registry on January 30, 2008.

Where is Great Lakes Family Medical Center PLLC located?

Great Lakes Family Medical Center PLLC is located at 4420 E Davison St, Detroit, MI 48212. The listed phone number is (313) 369-1500.

What is Great Lakes Family Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Great Lakes Family Medical Center PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Great Lakes Family Medical Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Family Medical Center PLLC was last updated on September 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.