Amini Healthcare Pllc | |
19727 Allen Rd Suite 12 Brownstown Twp MI 48183-1188 | |
(734) 479-8000 | |
(734) 479-4812 |
Full Name | Amini Healthcare Pllc |
---|---|
Speciality | Internal Medicine |
Location | 19727 Allen Rd, Brownstown Twp, Michigan |
Authorized Official Name and Position | Ladan Amini-oroumi (PRESIDENT) |
Authorized Official Contact | 7344798000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Amini Healthcare Pllc 19727 Allen Rd Suite 12 Brownstown Twp MI 48183-1188 Ph: (734) 479-8000 | Amini Healthcare Pllc 19727 Allen Rd Suite 12 Brownstown Twp MI 48183-1188 Ph: (734) 479-8000 |
NPI Number | 1124430848 |
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Provider Enumeration Date | 05/29/2014 |
Last Update Date | 03/01/2021 |
Medicare PECOS PAC ID | 4486870409 |
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Medicare Enrollment ID | O20140729001077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124430848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301080497 (Michigan) | Primary |
Provider Name | Ladan Amini Oroumi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740252089 PECOS PAC ID: 7719992809 Enrollment ID: I20060210000193 |
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