| Dearborn Internist P.c. | |
|
10066 Dix Ave Suite 100 Dearborn MI 48120 | |
| (313) 849-4949 | |
| (313) 849-0469 |
| Full Name | Dearborn Internist P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10066 Dix Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Mahmoud I Rahim (OWNER) |
| Authorized Official Contact | 3138494949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dearborn Internist P.c. 1527 Cliffwood Bloomfield Hills MI 48302 Ph: (313) 849-4949 | Dearborn Internist P.c. 10066 Dix Ave Suite 100 Dearborn MI 48120 Ph: (313) 849-4949 |
| NPI Number | 1023314341 |
|---|---|
| Provider Enumeration Date | 02/03/2011 |
| Last Update Date | 02/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023314341 | NPI | - | NPPES |
| 4182411 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MR065143 (Michigan) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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