Fayez Shukairy Md Pc | |
1050 S Milford Rd Suite 105 Highland MI 48357-4878 | |
(248) 887-6997 | |
(248) 889-2696 |
Full Name | Fayez Shukairy Md Pc |
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Speciality | Family Medicine |
Location | 1050 S Milford Rd, Highland, Michigan |
Authorized Official Name and Position | Janet Marie Wright (MANAGER) |
Authorized Official Contact | 2488876997 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fayez Shukairy Md Pc 1050 S Milford Rd Suite 105 Highland MI 48357-4878 Ph: (248) 887-6997 | Fayez Shukairy Md Pc 1050 S Milford Rd Suite 105 Highland MI 48357-4878 Ph: (248) 887-6997 |
NPI Number | 1053630319 |
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Provider Enumeration Date | 05/26/2010 |
Last Update Date | 11/22/2022 |
Medicare PECOS PAC ID | 3870617533 |
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Medicare Enrollment ID | O20100901000675 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053630319 | NPI | - | NPPES |
2115509 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208600000X | Surgery | (* (Not Available)) | Secondary |
Provider Name | Fayez Shukairy |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1326030370 PECOS PAC ID: 8022042209 Enrollment ID: I20050927000419 |
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