| Basmit Medical Center Pc. | |
|
34764 Dequindre Rd Sterling Heights MI 48310-5279 | |
| (586) 883-6787 | |
| (586) 883-6103 |
| Full Name | Basmit Medical Center Pc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 34764 Dequindre Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | Bnan A Razoky (OWNER) |
| Authorized Official Contact | 5868836787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Basmit Medical Center Pc. 34764 Dequindre Rd Sterling Heights MI 48310-5279 Ph: (586) 883-6787 | Basmit Medical Center Pc. 34764 Dequindre Rd Sterling Heights MI 48310-5279 Ph: (586) 883-6787 |
| NPI Number | 1619246428 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 12/22/2011 |
| Medicare PECOS PAC ID | 9739348111 |
|---|---|
| Medicare Enrollment ID | O20120303000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619246428 | NPI | - | NPPES |
| 1942317789 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301082048 (Michigan) | Primary |
| Provider Name | Bnan A Razoky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942317789 PECOS PAC ID: 6406937457 Enrollment ID: I20080115000765 |
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