Family Neurology Pllc | |
1124 Kinmore St Dearborn Heights MI 48127-3413 | |
(313) 566-3880 | |
Not Available |
Full Name | Family Neurology Pllc |
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Speciality | Psychiatry & Neurology |
Location | 1124 Kinmore St, Dearborn Heights, Michigan |
Authorized Official Name and Position | Youssef Dakka (MD) |
Authorized Official Contact | 3135663880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Neurology Pllc 1124 Kinmore St Dearborn Heights MI 48127-3413 Ph: () - | Family Neurology Pllc 1124 Kinmore St Dearborn Heights MI 48127-3413 Ph: (313) 566-3880 |
NPI Number | 1477967313 |
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Provider Enumeration Date | 06/18/2014 |
Last Update Date | 06/24/2014 |
Medicare PECOS PAC ID | 9234452244 |
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Medicare Enrollment ID | O20141224001142 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477967313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Youssef A Dakka |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1437367497 PECOS PAC ID: 9436208196 Enrollment ID: I20090529000040 |
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