Amer Aboukasm Md Pllc | |
1051 Yorkshire Rd Grosse Pointe Park MI 48230-1449 | |
(313) 640-4656 | |
Not Available |
Full Name | Amer Aboukasm Md Pllc |
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Speciality | Psychiatry & Neurology |
Location | 1051 Yorkshire Rd, Grosse Pointe Park, Michigan |
Authorized Official Name and Position | Amer Aboukasm (PRESIDENT) |
Authorized Official Contact | 3134604664 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amer Aboukasm Md Pllc 20816 E 11 Mile Rd Ste 201 Saint Clair Shores MI 48081-1578 Ph: (586) 285-5783 | Amer Aboukasm Md Pllc 1051 Yorkshire Rd Grosse Pointe Park MI 48230-1449 Ph: (313) 640-4656 |
NPI Number | 1356913867 |
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Provider Enumeration Date | 07/14/2021 |
Last Update Date | 07/14/2021 |
Certification Date | 07/14/2021 |
Medicare PECOS PAC ID | 9931502069 |
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Medicare Enrollment ID | O20210727000702 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356913867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Amer G Aboukasm |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1194754085 PECOS PAC ID: 7911042304 Enrollment ID: I20100310000464 |
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