| |
25350 Eureka Rd Taylor MI 48180-5050 | |
(313) 307-0088 | |
(313) 281-2235 |
Full Name | |
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Speciality | General Practice |
Location | 25350 Eureka Rd, Taylor, Michigan |
Authorized Official Name and Position | Muhammad Amir (DIRECTOR) |
Authorized Official Contact | 5862616200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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25350 Eureka Rd Ste 200 Taylor MI 48180-5050 Ph: (586) 261-6200 | 25350 Eureka Rd Taylor MI 48180-5050 Ph: (313) 307-0088 |
NPI Number | 1609552611 |
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Provider Enumeration Date | 06/26/2023 |
Last Update Date | 12/13/2023 |
Medicare PECOS PAC ID | 1153852801 |
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Medicare Enrollment ID | O20241004001464 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609552611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Maimoona H Husain |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487731816 PECOS PAC ID: 5496794166 Enrollment ID: I20050502000992 |
Provider Name | Connor Mcnamee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740809730 PECOS PAC ID: 3072937200 Enrollment ID: I20241115003342 |
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