Executive Health PC

NPI #1528445632 in Dearborn, Michigan

Provider Information

NPI Number: 1528445632
Entity Type: Organization
Organization Name: Executive Health PC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 28, 2015
Last Updated: Sep 21, 2015

Practice Location

Address: 1213 MASON ST
City: Dearborn
State: Michigan
ZIP Code: 48124-2841
Phone: (313) 278-2800

Authorized Official

Name: MASSUD ALMASSUDI, MD
Title: PRESEDENT
Phone: (313) 278-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Internal Medicine	207R00000X	Primary

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