| Esa M Ali Md Pc | |
|
2590 Elizabeth Lake Rd Waterford MI 48328-3314 | |
| (248) 738-5500 | |
| (248) 738-5506 |
| Full Name | Esa M Ali Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2590 Elizabeth Lake Rd, Waterford, Michigan |
| Authorized Official Name and Position | Esa M Ali (PRESIDENT) |
| Authorized Official Contact | 2487385500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Esa M Ali Md Pc 2590 Elizabeth Lake Rd Waterford MI 48328-3314 Ph: (248) 738-5500 | Esa M Ali Md Pc 2590 Elizabeth Lake Rd Waterford MI 48328-3314 Ph: (248) 738-5500 |
| NPI Number | 1942474127 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/02/2013 |
| Medicare PECOS PAC ID | 5092964569 |
|---|---|
| Medicare Enrollment ID | O20120927000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942474127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | EA076578 (Michigan) | Primary |
| Provider Name | Esa M Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881676088 PECOS PAC ID: 6305841727 Enrollment ID: I20060919000054 |
| Provider Name | Junaed U Haq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730341868 PECOS PAC ID: 4385796879 Enrollment ID: I20090714000521 |
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