Advanced Ob-gyn Of Dearborn, P.c. | |
2263 Pinecroft Dr Unit 216 Canton MI 48188-2247 | |
(501) 412-9552 | |
Not Available |
Full Name | Advanced Ob-gyn Of Dearborn, P.c. |
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Speciality | Clinic/Center |
Location | 2263 Pinecroft Dr, Canton, Michigan |
Authorized Official Name and Position | Ghazala Azam Ahmed (PRESIDENT) |
Authorized Official Contact | 5014129552 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Ob-gyn Of Dearborn, P.c. 2421 Monroe St Dearborn MI 48124-3043 Ph: (313) 447-0511 | Advanced Ob-gyn Of Dearborn, P.c. 2263 Pinecroft Dr Unit 216 Canton MI 48188-2247 Ph: (501) 412-9552 |
NPI Number | 1831430909 |
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Provider Enumeration Date | 03/13/2013 |
Last Update Date | 03/13/2013 |
Medicare PECOS PAC ID | 2567696560 |
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Medicare Enrollment ID | O20131007000324 |
Identifier | Type | State | Issuer |
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1831430909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Ghazala Azam Ahmed |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497949812 PECOS PAC ID: 7315078599 Enrollment ID: I20120519000109 |
Provider Name | Anjum Bokhari |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1972030104 PECOS PAC ID: 7012326614 Enrollment ID: I20210512000713 |
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