| Advanced Cardiovascular Clinic Pc | |
|
6122 W Pierson Rd Unit 1 Flushing MI 48433-3104 | |
| (810) 600-3399 | |
| (810) 600-3398 |
| Full Name | Advanced Cardiovascular Clinic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6122 W Pierson Rd, Flushing, Michigan |
| Authorized Official Name and Position | Mohammad Luay Alkotob (PRESIDENT) |
| Authorized Official Contact | 8106003399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Cardiovascular Clinic Pc 6122 W Pierson Rd Unit 1 Flushing MI 48433-3104 Ph: (810) 600-3399 | Advanced Cardiovascular Clinic Pc 6122 W Pierson Rd Unit 1 Flushing MI 48433-3104 Ph: (810) 600-3399 |
| NPI Number | 1104067487 |
|---|---|
| Provider Enumeration Date | 03/16/2009 |
| Last Update Date | 09/13/2016 |
| Medicare PECOS PAC ID | 7911056882 |
|---|---|
| Medicare Enrollment ID | O20090526000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104067487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Imad Issawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174590228 PECOS PAC ID: 2365424678 Enrollment ID: I20040615001702 |
| Provider Name | Mohammad Alkotob |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598792830 PECOS PAC ID: 7315977311 Enrollment ID: I20070824000064 |
| Provider Name | Madar Abed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235165275 PECOS PAC ID: 4981508280 Enrollment ID: I20110203000592 |
| Provider Name | Jennifer L Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578881827 PECOS PAC ID: 7517147598 Enrollment ID: I20110208000731 |
| Provider Name | Hassan Ismail |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881687861 PECOS PAC ID: 6103837984 Enrollment ID: I20111215000876 |
| Provider Name | Erika K Haddon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174932594 PECOS PAC ID: 5496077307 Enrollment ID: I20141204000209 |
| Provider Name | Michelle Lynn Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114446606 PECOS PAC ID: 0840566071 Enrollment ID: I20171016002493 |
| Provider Name | Annabelle Slotka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679104186 PECOS PAC ID: 5395172555 Enrollment ID: I20200227002126 |
| Provider Name | Kristine M Stamos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992340376 PECOS PAC ID: 7214366426 Enrollment ID: I20200720000191 |
| Provider Name | Abdullah Haddad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144585951 PECOS PAC ID: 7315252616 Enrollment ID: I20230627001550 |
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