| Neurology Care Center Pc | |
|
3815 Pelham St Dearborn MI 48124-3852 | |
| (313) 593-3915 | |
| (313) 593-3810 |
| Full Name | Neurology Care Center Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3815 Pelham St, Dearborn, Michigan |
| Authorized Official Name and Position | Suheb M Hasan (OWNER/PRESIDENT) |
| Authorized Official Contact | 3135933915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Care Center Pc 3815 Pelham St Dearborn MI 48124-3852 Ph: (313) 593-3915 | Neurology Care Center Pc 3815 Pelham St Dearborn MI 48124-3852 Ph: (313) 593-3915 |
| NPI Number | 1568707594 |
|---|---|
| Provider Enumeration Date | 12/03/2012 |
| Last Update Date | 11/03/2013 |
| Medicare PECOS PAC ID | 4981845872 |
|---|---|
| Medicare Enrollment ID | O20130718000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568707594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | 4301088848 (Michigan) | Primary |
| Provider Name | Suheb Mashkoor Hasan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104933621 PECOS PAC ID: 0648200964 Enrollment ID: I20061003000019 |
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