Bashir Tarraf, Od, Pc | |
15120 Michigan Ave Ste D, Dearborn, MI 48126-3768 | |
(313) 982-2425 | |
Not Available |
Full Name | Bashir Tarraf, Od, Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 15120 Michigan Ave Ste D, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568190718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Bashir D Tarraf |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831758358 PECOS PAC ID: 8123439189 Enrollment ID: I20201123001868 |
Mailing Address | Practice Location Address |
---|---|
Bashir Tarraf, Od, Pc 15120 Michigan Ave Ste D, Dearborn, MI 48126-3768 Ph: (313) 982-2425 | Bashir Tarraf, Od, Pc 15120 Michigan Ave Ste D, Dearborn, MI 48126-3768 Ph: (313) 982-2425 |
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