Dearborn Healthcare Pc | |
10066 Dix Dearborn MI 48120-1551 | |
(313) 849-4949 | |
Not Available |
Full Name | Dearborn Healthcare Pc |
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Speciality | Internal Medicine |
Location | 10066 Dix, Dearborn, Michigan |
Authorized Official Name and Position | Raya Hussain (OWNER) |
Authorized Official Contact | 3138494949 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dearborn Healthcare Pc 1527 Cliffwood Rd Bloomfield Hills MI 48302-2677 Ph: (313) 849-4949 | Dearborn Healthcare Pc 10066 Dix Dearborn MI 48120-1551 Ph: (313) 849-4949 |
NPI Number | 1871047795 |
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Provider Enumeration Date | 08/09/2016 |
Last Update Date | 08/09/2016 |
Medicare PECOS PAC ID | 6608162516 |
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Medicare Enrollment ID | O20160901000304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871047795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | RH065327 (Michigan) | Primary |
Provider Name | Rania Hassan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548408966 PECOS PAC ID: 9931259066 Enrollment ID: I20090611000601 |
Provider Name | Raya Hussain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093817603 PECOS PAC ID: 1153577382 Enrollment ID: I20120803000437 |
Provider Name | Ali Rahim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114556347 PECOS PAC ID: 7012336092 Enrollment ID: I20231122001753 |
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