| Ahmad Al Dabagh, M.d., P.c. | |
|
5084 Villa Linde Pkwy Suite 5 Flint MI 48532-3422 | |
| (810) 733-8105 | |
| (810) 733-8135 |
| Full Name | Ahmad Al Dabagh, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5084 Villa Linde Pkwy, Flint, Michigan |
| Authorized Official Name and Position | Ahmad Al Dabagh (PRESIDENT OWNER) |
| Authorized Official Contact | 8107338105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Al Dabagh, M.d., P.c. 5084 Villa Linde Pkwy Ste 5 Flint MI 48532-3422 Ph: (810) 733-8105 | Ahmad Al Dabagh, M.d., P.c. 5084 Villa Linde Pkwy Suite 5 Flint MI 48532-3422 Ph: (810) 733-8105 |
| NPI Number | 1851314256 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 10/30/2013 |
| Medicare PECOS PAC ID | 4587668223 |
|---|---|
| Medicare Enrollment ID | O20060911000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851314256 | NPI | - | NPPES |
| 1102504361 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4301746 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301063880 (Michigan) | Primary |
| Provider Name | Ahmad Aldabagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104858794 PECOS PAC ID: 3971400920 Enrollment ID: I20031217000562 |
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