| Alan T Ghassan Md Pc | |
|
24333 Orchard Lake Rd Suite C Farmington Hills MI 48336-1976 | |
| (248) 477-9800 | |
| (248) 477-9801 |
| Full Name | Alan T Ghassan Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 24333 Orchard Lake Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | Alan T Ghassan (OWNER) |
| Authorized Official Contact | 2484779800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan T Ghassan Md Pc 24333 Orchard Lake Rd Suite C Farmington Hills MI 48336-1976 Ph: (248) 477-9800 | Alan T Ghassan Md Pc 24333 Orchard Lake Rd Suite C Farmington Hills MI 48336-1976 Ph: (248) 477-9800 |
| NPI Number | 1134328180 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 02/21/2012 |
| Medicare PECOS PAC ID | 1153422738 |
|---|---|
| Medicare Enrollment ID | O20070726000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134328180 | NPI | - | NPPES |
| 5194640 | Medicaid | MI | |
| 1106360522 | Other | MI | BLUE CARE NETWORK |
| 143417 | Other | MI | CARE CHOICES |
| 57513 | Other | MI | TOTAL HEALTH CARE |
| 1106360522 | Other | MI | BC/BSM |
| 0F35639 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | AG081430 (Michigan) | Primary |
| Provider Name | Alan T Ghassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760450811 PECOS PAC ID: 8921002486 Enrollment ID: I20060914000376 |
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