| Gastrofit Pllc | |
|
23500 Park St Ste 2b Dearborn MI 48124-2598 | |
| (313) 510-4779 | |
| Not Available |
| Full Name | Gastrofit Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23500 Park St Ste 2b, Dearborn, Michigan |
| Authorized Official Name and Position | Rana Sabbagh (OWNER) |
| Authorized Official Contact | 3135104779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrofit Pllc 23500 Park St Ste 2b Dearborn MI 48124-2598 Ph: (313) 510-4779 | Gastrofit Pllc 23500 Park St Ste 2b Dearborn MI 48124-2598 Ph: (313) 510-4779 |
| NPI Number | 1740610401 |
|---|---|
| Provider Enumeration Date | 11/17/2013 |
| Last Update Date | 11/17/2013 |
| Medicare PECOS PAC ID | 1153554555 |
|---|---|
| Medicare Enrollment ID | O20140509001808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740610401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301088212 (Michigan) | Primary |
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