Am Medical Center | |
13031 Conant St Detroit MI 48212-2361 | |
(313) 893-5490 | |
(313) 893-5495 |
Full Name | Am Medical Center |
---|---|
Speciality | Internal Medicine |
Location | 13031 Conant St, Detroit, Michigan |
Authorized Official Name and Position | Ali H Mahmood (OWNER/PHYSICIAN) |
Authorized Official Contact | 3138935490 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Am Medical Center 13031 Conant St Detroit MI 48212-2361 Ph: (313) 893-5490 | Am Medical Center 13031 Conant St Detroit MI 48212-2361 Ph: (313) 893-5490 |
NPI Number | 1275532905 |
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Provider Enumeration Date | 07/15/2005 |
Last Update Date | 11/07/2024 |
Medicare PECOS PAC ID | 0840254017 |
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Medicare Enrollment ID | O20041117000378 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275532905 | NPI | - | NPPES |
1275532905 | Medicaid | MI | |
615861800 | Other | MI | DEPT OF LABOR |
700H215230 | Other | MI | BC |
4283129 | Medicaid | MI | |
DA2203 | Other | MI | RAILROAD MEDICARE |
700H215230 | Other | MI | BCN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | GP068359 (Michigan) | Secondary |
207R00000X | Internal Medicine | AM056507 (Michigan) | Primary |
Provider Name | Ali H Mahmood |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386643013 PECOS PAC ID: 7517921786 Enrollment ID: I20041117000432 |
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