Syed A S Makki Md Pc | |
1201 Stone St Suite 4 Port Huron MI 48060-3563 | |
(810) 982-8484 | |
(810) 982-8485 |
Full Name | Syed A S Makki Md Pc |
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Speciality | Psychiatry & Neurology |
Location | 1201 Stone St, Port Huron, Michigan |
Authorized Official Name and Position | Syed A S Makki (PRESIDENT OF CORPORATION) |
Authorized Official Contact | 8109828484 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Syed A S Makki Md Pc 1201 Stone St Suite 4 Port Huron MI 48060-3563 Ph: (810) 982-8484 | Syed A S Makki Md Pc 1201 Stone St Suite 4 Port Huron MI 48060-3563 Ph: (810) 982-8484 |
NPI Number | 1902970262 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 12/26/2013 |
Medicare PECOS PAC ID | 9830359421 |
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Medicare Enrollment ID | O20120319000471 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902970262 | NPI | - | NPPES |
108335810 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301032112 (Michigan) | Primary |
Provider Name | Syed A S Makki |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689879660 PECOS PAC ID: 4981703790 Enrollment ID: I20070620000088 |
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