Elite Health Pllc | |
5895 W Vernor Hwy Detroit MI 48209-2159 | |
(313) 554-4357 | |
(313) 554-1565 |
Full Name | Elite Health Pllc |
---|---|
Speciality | Family Medicine |
Location | 5895 W Vernor Hwy, Detroit, Michigan |
Authorized Official Name and Position | Jamal M Aoun (OWNER/DO) |
Authorized Official Contact | 3136181010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Elite Health Pllc 5895 W Vernor Hwy Detroit MI 48209-2159 Ph: (313) 554-4357 | Elite Health Pllc 5895 W Vernor Hwy Detroit MI 48209-2159 Ph: (313) 554-4357 |
NPI Number | 1578228300 |
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Provider Enumeration Date | 11/06/2021 |
Last Update Date | 07/30/2024 |
Medicare PECOS PAC ID | 8325421894 |
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Medicare Enrollment ID | O20220816001618 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578228300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jamal M Aoun |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275024606 PECOS PAC ID: 0547650376 Enrollment ID: I20211209000477 |
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