Advanced Physician Group LLC
Advanced Physician Group LLC is a healthcare organization registered as Community/Retail Pharmacy in Dearborn, MI, holding Type 2 (organization) NPI 1689204471 since 2020. The authorized official on file is Tarek Mazloum, Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689204471 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advanced Physician Group LLC |
| Other name | <Unavail> |
| Practice address | 13530 MICHIGAN AVE # L2, Dearborn, MI, 48126 |
| Phone | 7346641147 |
| Enumeration date | 2020-01-21 |
| Last updated in NPPES | 2020-07-09 |
Authorized official
| Name | Tarek Mazloum |
|---|---|
| Title | Pharmacist |
| Phone | 7346641147 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336S0011X | Specialty Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Advanced Physician Group LLC NPI: 1689204471 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 13530 MICHIGAN AVE # L2, Dearborn, MI, 48126
Verify this record
Cross-check NPI 1689204471 against the authoritative CMS record: view Advanced Physician Group LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Advanced Physician Group LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-07-09.