Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Great Lakes Family Medical Center PLLC

Organization Multi-Specialty Clinic/Center · NPI 1982881025

Great Lakes Family Medical Center PLLC is a Multi-Specialty Clinic/Center in Detroit, Michigan. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4420 E Davison St
Detroit, MI 48212-1744
Phone: (313) 369-1500
Fax: (313) 369-1205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1982881025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amitabh Paharia — Owner · (313) 369-1500
NPI enumeratedJanuary 30, 2008
Last updated in NPPESSeptember 4, 2013
Mailing address4420 E Davison St, Detroit, MI 48212-1744

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