Elmortada Medical Services Pc | |
205 N East Ave Jackson MI 49201-1753 | |
(517) 205-4800 | |
Not Available |
Full Name | Elmortada Medical Services Pc |
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Speciality | Internal Medicine |
Location | 205 N East Ave, Jackson, Michigan |
Authorized Official Name and Position | Mohamad El Mortada (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7739883643 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elmortada Medical Services Pc 205 N East Ave Jackson MI 49201-1753 Ph: (517) 205-4800 | Elmortada Medical Services Pc 205 N East Ave Jackson MI 49201-1753 Ph: (517) 205-4800 |
NPI Number | 1184482457 |
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Provider Enumeration Date | 03/11/2024 |
Last Update Date | 03/11/2024 |
Medicare PECOS PAC ID | 0840735635 |
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Medicare Enrollment ID | O20240717000669 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184482457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Mohamad E El Mortada |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1215139175 PECOS PAC ID: 4183774201 Enrollment ID: I20090611000515 |
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