Provider Demographics
NPI:1174352728
Name:COMPREHENSIVE PRIMARY CARE PHYSICIANS PLLC
Entity type:Organization
Organization Name:COMPREHENSIVE PRIMARY CARE PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLUWASAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINYOSOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-366-5165
Mailing Address - Street 1:31500 TELEGRAPH RD STE 115
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4302
Mailing Address - Country:US
Mailing Address - Phone:248-621-9200
Mailing Address - Fax:
Practice Address - Street 1:31500 TELEGRAPH RD STE 115
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4302
Practice Address - Country:US
Practice Address - Phone:248-621-9200
Practice Address - Fax:248-621-9222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty