| Ehab M Michael Md Pa | |
|
5411 Grand Blvd Suite 101 New Port Richey FL 34652-4011 | |
| (727) 842-3600 | |
| (727) 845-0732 |
| Full Name | Ehab M Michael Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5411 Grand Blvd, New Port Richey, Florida |
| Authorized Official Name and Position | Ehab M Michael (PRESIDENT) |
| Authorized Official Contact | 7278423600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ehab M Michael Md Pa 5411 Grand Blvd Suite 101 New Port Richey FL 34652-4011 Ph: (727) 842-3600 | Ehab M Michael Md Pa 5411 Grand Blvd Suite 101 New Port Richey FL 34652-4011 Ph: (727) 842-3600 |
| NPI Number | 1841490539 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 03/07/2014 |
| Medicare PECOS PAC ID | 4981786829 |
|---|---|
| Medicare Enrollment ID | O20080130000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841490539 | NPI | - | NPPES |
| AH501 | Other | FL | MEDICARE |
| 271681000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME67843 (Florida) | Primary |
| Provider Name | Ehab M Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588654222 PECOS PAC ID: 4688652084 Enrollment ID: I20040712001094 |
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