| Detroit Medical Group, Pllc | |
|
14071 E Seven Mile Rd Detroit MI 48205 | |
| (313) 371-2828 | |
| (313) 371-9120 |
| Full Name | Detroit Medical Group, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14071 E Seven Mile Rd, Detroit, Michigan |
| Authorized Official Name and Position | Nazmul Haque (OWNER) |
| Authorized Official Contact | 2482031282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Medical Group, Pllc 14071 E 7 Mile Rd Ste 106 Detroit MI 48205-2335 Ph: (248) 203-1282 | Detroit Medical Group, Pllc 14071 E Seven Mile Rd Detroit MI 48205 Ph: (313) 371-2828 |
| NPI Number | 1255439956 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 05/24/2021 |
| Medicare PECOS PAC ID | 8325023781 |
|---|---|
| Medicare Enrollment ID | O20040621000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255439956 | NPI | - | NPPES |
| 104670365 | Medicaid | MI |
| Provider Name | Mohammed Ziaal Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063484053 PECOS PAC ID: 4486639697 Enrollment ID: I20040622000792 |
| Provider Name | Joy J Darden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033315361 PECOS PAC ID: 3173649068 Enrollment ID: I20100928001671 |
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