| Family Medicine And Sleep Specialist Pc | |
|
11670 Martin Rd Warren MI 48093-4511 | |
| (586) 754-3830 | |
| (586) 754-3840 |
| Full Name | Family Medicine And Sleep Specialist Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 11670 Martin Rd, Warren, Michigan |
| Authorized Official Name and Position | Asima Hussain (OWNER) |
| Authorized Official Contact | 5867543830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine And Sleep Specialist Pc 11670 Martin Rd Warren MI 48093-4511 Ph: (586) 754-3830 | Family Medicine And Sleep Specialist Pc 11670 Martin Rd Warren MI 48093-4511 Ph: (586) 754-3830 |
| NPI Number | 1003137274 |
|---|---|
| Provider Enumeration Date | 06/22/2010 |
| Last Update Date | 06/22/2010 |
| Medicare PECOS PAC ID | 4284822594 |
|---|---|
| Medicare Enrollment ID | O20101230000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003137274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301053641 (Michigan) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 4301053641 (Michigan) | Secondary |
| Provider Name | Asima S Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780696567 PECOS PAC ID: 2062516792 Enrollment ID: I20070405000032 |
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