| Abdallah E Zamaria Md And Barbara Henike Md Pc | |
|
24001 Greater Mack Ave Suite C Saint Clair Shores MI 48080-1471 | |
| (586) 772-3244 | |
| (586) 772-8550 |
| Full Name | Abdallah E Zamaria Md And Barbara Henike Md Pc |
|---|---|
| Speciality | Psychologist |
| Location | 24001 Greater Mack Ave, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Abdallah E Zamaria (OWNER) |
| Authorized Official Contact | 5867723244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abdallah E Zamaria Md And Barbara Henike Md Pc 24001 Greater Mack Ave Suite C Saint Clair Shores MI 48080-1471 Ph: (586) 772-3244 | Abdallah E Zamaria Md And Barbara Henike Md Pc 24001 Greater Mack Ave Suite C Saint Clair Shores MI 48080-1471 Ph: (586) 772-3244 |
| NPI Number | 1184821829 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 6608809454 |
|---|---|
| Medicare Enrollment ID | O20050913000901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184821829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | AZ034941 (Michigan) | Primary |
| Provider Name | Barbara J Henike |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255304085 PECOS PAC ID: 1052344801 Enrollment ID: I20050920000350 |
| Provider Name | Abdallah E Zamaria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346227022 PECOS PAC ID: 0143253997 Enrollment ID: I20120126000462 |
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