Advanced Medical Center Pllc | |
4132 Schaefer Rd Dearborn MI 48126-3683 | |
(313) 849-3100 | |
(313) 899-7099 |
Full Name | Advanced Medical Center Pllc |
---|---|
Speciality | Internal Medicine |
Location | 4132 Schaefer Rd, Dearborn, Michigan |
Authorized Official Name and Position | Saleh Muslah (OWNER/PHYSICIAN) |
Authorized Official Contact | 3138493100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Advanced Medical Center Pllc 10140 W Vernor Highway Dearborn MI 48120 Ph: (313) 849-3100 | Advanced Medical Center Pllc 4132 Schaefer Rd Dearborn MI 48126-3683 Ph: (313) 849-3100 |
NPI Number | 1386680502 |
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Provider Enumeration Date | 06/22/2006 |
Last Update Date | 02/07/2024 |
Medicare PECOS PAC ID | 5496751299 |
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Medicare Enrollment ID | O20061019000171 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386680502 | NPI | - | NPPES |
110H228590 | Other | BCBS | |
4314627 | Other | MI | AETNA |
4897717 | Medicaid | MI | |
00000001285 | Other | MI | CAPE |
DG2904 | Other | MI | RAILROAD MEDICARE GROUP |
E77778 | Other | MI | HAP |
143044 | Other | MI | GREAT LAKES |
7761 | Other | MI | TOTAL HEALTH CARE |
011248 | Other | MI | MIDWEST |
131038 | Other | MI | CARE CHOICES |
C7669 | Other | MI | MCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Saleh Muslah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295722916 PECOS PAC ID: 6103867007 Enrollment ID: I20050520000758 |
Provider Name | Vera B Jaber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871917724 PECOS PAC ID: 0446473714 Enrollment ID: I20140514001994 |
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