Mobile Care Physicians Group Pc | |
835 Mason Street Set A250 Dearborn MI 48126 | |
(206) 738-4179 | |
Not Available |
Full Name | Mobile Care Physicians Group Pc |
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Speciality | Social Worker |
Location | 835 Mason Street Set A250, Dearborn, Michigan |
Authorized Official Name and Position | Kristin Victory (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8552273574 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mobile Care Physicians Group Pc 8270 Woodland Center Blvd, Pmb 548 Tampa FL 33614-2401 Ph: (630) 454-0257 | Mobile Care Physicians Group Pc 835 Mason Street Set A250 Dearborn MI 48126 Ph: (206) 738-4179 |
NPI Number | 1780345900 |
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Provider Enumeration Date | 01/10/2022 |
Last Update Date | 09/09/2024 |
Certification Date | 09/09/2024 |
Medicare PECOS PAC ID | 2062805732 |
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Medicare Enrollment ID | O20220920003686 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780345900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sajad Zalzala |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639311509 PECOS PAC ID: 5092962209 Enrollment ID: I20200519001698 |
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