INDEPENDENT MEDICAL ASSOCIATES PC (NPI# 1568889251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568889251 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT MEDICAL ASSOCIATES PC |
| Practice Address |
24825 Michigan Ave Ste B Dearborn MI 48124-1758 |
| Practice Telephone | 3135653365 |
| Practice Fax Number | 3135653440 |
| Mailing Telephone | 3135653365 |
| Mailing Fax Number | 3135653440 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-31 |
| Authorized Official Name | DR. ALI KADDOURA (LEADER) |
| Authorized Official Telephone | 3135653365 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
24825 MICHIGAN AVE STE B |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831625656 | Xpress 1 Urgent Care PC | Family Medicine | 24825 Michigan Ave Ste B, Dearborn, MI 48124-1758 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740544550 | Angela Patricia - Galeano Carlson | Specialist | 23910 Oak St, Dearborn, MI 48128-2202 | 2012-06-26 |
| 1427239458 | William G Nutting M.d.p.c. | Specialist | 1637 Monroe St, Dearborn, MI 48124-2912 | 2007-11-19 |
| 1548463151 | Susan Kusner | Specialist | 13020 Osborne St, Dearborn, MI 48126-3640 | 2007-06-10 |
| 1194859314 | Darapen C Chivalak | Specialist | 1640 Monroe St, Dearborn, MI 48124-2913 | 2007-03-16 |
| 1821159690 | Kirsten Clark | Specialist | 20031 Carlysle St, Suite 3, Dearborn, MI 48124-3803 | 2006-12-13 |
| 1306880471 | Hyun Sik Chang | Specialist | 3815 Pelham, Suite 5, Dearborn, MI 48124-3852 | 2006-06-16 |
| 1184664302 | John J. Bernick | Specialist | 751 S Military St, Dearborn, MI 48124-2107 | 2006-06-07 |
| 1710943683 | Peter L. Stevenson, Md, PC | Specialist | 2100 Monroe Street, Dearborn, MI 48124 | 2006-04-21 |
| 1134195480 | Raghda Chwikani | Specialist | 10326 W Warren Ave, Dearborn, MI 48126-1659 | 2006-02-27 |
| 1649241910 | Fuad Hassan Turfah | Specialist | 1811 Monroe St, Dearborn, MI 48124-2924 | 2006-01-27 |
| Find all providers in DEARBORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.