Cedar Medical Snf Services Pllc | |
1951 Monroe St Dearborn MI 48124-2916 | |
(313) 563-5757 | |
Not Available |
Full Name | Cedar Medical Snf Services Pllc |
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Speciality | Internal Medicine |
Location | 1951 Monroe St, Dearborn, Michigan |
Authorized Official Name and Position | Ghadi Ghorayeb (OWNER) |
Authorized Official Contact | 3135635757 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cedar Medical Snf Services Pllc 1951 Monroe St Dearborn MI 48124-2916 Ph: (313) 563-5757 | Cedar Medical Snf Services Pllc 1951 Monroe St Dearborn MI 48124-2916 Ph: (313) 563-5757 |
NPI Number | 1194504423 |
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Provider Enumeration Date | 09/26/2023 |
Last Update Date | 09/26/2023 |
Medicare PECOS PAC ID | 9537516448 |
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Medicare Enrollment ID | O20231115001460 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194504423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ghadi Gabriel Ghorayeb |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932158425 PECOS PAC ID: 0244208882 Enrollment ID: I20040921000789 |
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