Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Michigan Sports Medicine PC

Organization Sports Medicine (Family Medicine) Physician · NPI 1326481623

Michigan Sports Medicine PC provides Sports Medicine (Family Medicine) Physician services in Dearborn Heights, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

23902 Ford Rd Ste A
Dearborn Heights, MI 48127-3246 Not confirmed with CMS for 11 years — call before visiting
Phone: (313) 562-4700
Fax: (313) 562-4701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 4301065806 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 4301095806 (MI)

Record details

NPI number1326481623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tarek Hadla — Md · (313) 562-4700
NPI enumeratedApril 17, 2013
Last updated in NPPESMay 15, 2015
Mailing address23902 Ford Rd, Suite A, Dearborn Heights, MI 48127-3246