Amana Endocrinology | |
6001 W Outer Dr Ste 203 Detroit MI 48235-2626 | |
(313) 478-2949 | |
Not Available |
Full Name | Amana Endocrinology |
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Speciality | Internal Medicine |
Location | 6001 W Outer Dr Ste 203, Detroit, Michigan |
Authorized Official Name and Position | Bayan Chaker (PRESIDENT) |
Authorized Official Contact | 3134782949 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amana Endocrinology 30375 Pennington Ln Novi MI 48377-1740 Ph: () - | Amana Endocrinology 6001 W Outer Dr Ste 203 Detroit MI 48235-2626 Ph: (313) 478-2949 |
NPI Number | 1194435461 |
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Provider Enumeration Date | 11/28/2022 |
Last Update Date | 01/12/2023 |
Medicare PECOS PAC ID | 8628443017 |
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Medicare Enrollment ID | O20230418000661 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194435461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Bayan Chaker |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1417342486 PECOS PAC ID: 2860794799 Enrollment ID: I20210730001180 |
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