Eastern Care Llc | |
28401 Hoover Rd Ste 2 Warren MI 48093-5438 | |
(586) 754-3830 | |
(586) 754-3840 |
Full Name | Eastern Care Llc |
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Speciality | Clinic/Center |
Location | 28401 Hoover Rd Ste 2, Warren, Michigan |
Authorized Official Name and Position | Muhammad Vasiq (CEO) |
Authorized Official Contact | 2052159892 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eastern Care Llc 28401 Hoover Rd Ste 2 Warren MI 48093-5438 Ph: (586) 754-3830 | Eastern Care Llc 28401 Hoover Rd Ste 2 Warren MI 48093-5438 Ph: (586) 754-3830 |
NPI Number | 1053027235 |
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Provider Enumeration Date | 01/30/2023 |
Last Update Date | 10/15/2023 |
Medicare PECOS PAC ID | 8820454739 |
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Medicare Enrollment ID | O20230519000237 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053027235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Muhammad Vasiq |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750357836 PECOS PAC ID: 8325048044 Enrollment ID: I20200623002942 |
Provider Name | Adeel Khan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427614668 PECOS PAC ID: 3779810551 Enrollment ID: I20221011000338 |
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