| Ali Health Primary Care Pllc | |
|
28653 Hoover Rd Warren MI 48093-4105 | |
| (313) 413-3709 | |
| Not Available |
| Full Name | Ali Health Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 28653 Hoover Rd, Warren, Michigan |
| Authorized Official Name and Position | Tarik Ali (OWNER) |
| Authorized Official Contact | 7347889466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Health Primary Care Pllc 28653 Hoover Rd Warren MI 48093-4105 Ph: (313) 413-3709 | Ali Health Primary Care Pllc 28653 Hoover Rd Warren MI 48093-4105 Ph: (313) 413-3709 |
| NPI Number | 1568154201 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Medicare PECOS PAC ID | 9638524697 |
|---|---|
| Medicare Enrollment ID | O20231011000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568154201 | NPI | - | NPPES |
| 1477068310 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tarik A Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477068310 PECOS PAC ID: 9931528585 Enrollment ID: I20200930002758 |
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