Medical Haven Pllc
NPI #1548125313 in Keego Harbor, Michigan
Provider Information
- NPI Number
- 1548125313
- Entity Type
- Organization
- Organization Name
- Medical Haven Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 23, 2025
- Last Updated
- Feb 6, 2026
Practice Location
- Address
- 2851 ORCHARD LAKE RD # 605
- City
- Keego Harbor
- State
- Michigan
- ZIP Code
- 48320-9991
- Phone
- (313) 858-0374
Authorized Official
- Name
- MOHAMMAD M BALLOUT, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (734) 410-6829
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Family Medicine |
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