Agha Internal Medicine Associates Pc | |
15604 Farmington Rd Livonia MI 48154-2852 | |
(734) 855-4176 | |
(734) 855-4178 |
Full Name | Agha Internal Medicine Associates Pc |
---|---|
Speciality | Internal Medicine |
Location | 15604 Farmington Rd, Livonia, Michigan |
Authorized Official Name and Position | Hooman Agha (DOCTOR OWNER) |
Authorized Official Contact | 7348554176 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Agha Internal Medicine Associates Pc 15604 Farmington Rd Livonia MI 48154-2852 Ph: (734) 855-4176 | Agha Internal Medicine Associates Pc 15604 Farmington Rd Livonia MI 48154-2852 Ph: (734) 855-4176 |
NPI Number | 1336161280 |
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Provider Enumeration Date | 07/23/2006 |
Last Update Date | 01/21/2021 |
Medicare PECOS PAC ID | 7517928773 |
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Medicare Enrollment ID | O20041020001336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336161280 | NPI | - | NPPES |
4415881 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | HA079451 (Michigan) | Primary |
Provider Name | Hooman B Agha |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699745596 PECOS PAC ID: 2860384302 Enrollment ID: I20040329000530 |
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