| Geriatric And Palliative Care Pllc | |
|
17177 N Laurel Park Dr Suite 439 Livonia MI 48152-2693 | |
| (734) 462-0340 | |
| (734) 462-0344 |
| Full Name | Geriatric And Palliative Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17177 N Laurel Park Dr, Livonia, Michigan |
| Authorized Official Name and Position | Zohra J Khan (PRESIDENT) |
| Authorized Official Contact | 2482127373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric And Palliative Care Pllc 17177 N Laurel Park Dr Suite 439 Livonia MI 48152-2693 Ph: (734) 462-0340 | Geriatric And Palliative Care Pllc 17177 N Laurel Park Dr Suite 439 Livonia MI 48152-2693 Ph: (734) 462-0340 |
| NPI Number | 1811369598 |
|---|---|
| Provider Enumeration Date | 10/21/2015 |
| Last Update Date | 10/22/2020 |
| Medicare PECOS PAC ID | 3476853441 |
|---|---|
| Medicare Enrollment ID | O20151123002136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811369598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Zohra J Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609043421 PECOS PAC ID: 6901115500 Enrollment ID: I20151022000385 |
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