Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alpha and Omega Primary Health Care Inc

Organization Internal Medicine Physician · NPI 1770752495

Alpha and Omega Primary Health Care Inc is an Internal Medicine Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15865 Wyoming St
Detroit, MI 48238-1136
Phone: (313) 342-2576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301061729 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301061729 (MI)

Record details

NPI number1770752495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rickie Hardaway — Owner · (313) 342-2576
NPI enumeratedFebruary 27, 2008
Last updated in NPPESApril 29, 2008
Mailing address15865 Wyoming St, Detroit, MI 48238-1136

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