Fatema Omran Mdpc Pllc | |
6255 Inkster Rd Ste 204 Garden City MI 48135-2538 | |
(248) 602-5940 | |
Not Available |
Full Name | Fatema Omran Mdpc Pllc |
---|---|
Speciality | Internal Medicine |
Location | 6255 Inkster Rd Ste 204, Garden City, Michigan |
Authorized Official Name and Position | Fatema Omran (OWNER/PHYSICIAN) |
Authorized Official Contact | 2486025940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fatema Omran Mdpc Pllc 268 Ridgemont Rd Grosse Pointe Farms MI 48236-3132 Ph: () - | Fatema Omran Mdpc Pllc 6255 Inkster Rd Ste 204 Garden City MI 48135-2538 Ph: (248) 602-5940 |
NPI Number | 1538778303 |
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Provider Enumeration Date | 07/28/2020 |
Last Update Date | 09/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538778303 | NPI | - | NPPES |
1063-71-0523 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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