| Faith Primary Care, Pc | |
|
315 S Wayne Rd Westland MI 48186-4301 | |
| (734) 895-8396 | |
| (734) 895-8571 |
| Full Name | Faith Primary Care, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 S Wayne Rd, Westland, Michigan |
| Authorized Official Name and Position | Mahir Matti (PHYSICIAN) |
| Authorized Official Contact | 3135333720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Primary Care, Pc 22341 West Eight Mile Road Suite 121 Detroit MI 48219 Ph: (313) 533-3720 | Faith Primary Care, Pc 315 S Wayne Rd Westland MI 48186-4301 Ph: (734) 895-8396 |
| NPI Number | 1821166737 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2019 |
| Medicare PECOS PAC ID | 8123028917 |
|---|---|
| Medicare Enrollment ID | O20061229000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821166737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301078766 (Michigan) | Primary |
| Provider Name | Mahir Matti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275638231 PECOS PAC ID: 0345202693 Enrollment ID: I20041029000565 |
| Provider Name | Manal H Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700970506 PECOS PAC ID: 3173522521 Enrollment ID: I20061212000310 |
| Provider Name | Mohammad F Sunbulli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841571544 PECOS PAC ID: 6507011525 Enrollment ID: I20130225000022 |
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