| Eastborn Clinic Pllc | |
|
7526 Wyoming St Ste# 2 Dearborn MI 48126-1690 | |
| (313) 834-4444 | |
| Not Available |
| Full Name | Eastborn Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7526 Wyoming St, Dearborn, Michigan |
| Authorized Official Name and Position | Amin S Huballah (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 3138344444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastborn Clinic Pllc 7526 Wyoming St Suite Number 2 Dearborn MI 48126-1690 Ph: (313) 834-4444 | Eastborn Clinic Pllc 7526 Wyoming St Ste# 2 Dearborn MI 48126-1690 Ph: (313) 834-4444 |
| NPI Number | 1578801080 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 04/30/2014 |
| Medicare PECOS PAC ID | 7810120110 |
|---|---|
| Medicare Enrollment ID | O20140512000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578801080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5601005284 (Michigan) | Primary |
| Provider Name | Farid F Zayed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417913690 PECOS PAC ID: 1254226822 Enrollment ID: I20050218000424 |
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