| Great Physicians, Pc | |
|
5032 Rochester Rd Ste 200 Troy MI 48085-3454 | |
| (248) 250-9029 | |
| (248) 250-9733 |
| Full Name | Great Physicians, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5032 Rochester Rd Ste 200, Troy, Michigan |
| Authorized Official Name and Position | Olivia Pass (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2488201712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Physicians, Pc 909 E Maple St Holly MI 48442-1755 Ph: (248) 820-1712 | Great Physicians, Pc 5032 Rochester Rd Ste 200 Troy MI 48085-3454 Ph: (248) 250-9029 |
| NPI Number | 1174286017 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 10/18/2021 |
| Medicare PECOS PAC ID | 4284022195 |
|---|---|
| Medicare Enrollment ID | O20211026002795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174286017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gheith Yousif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184087843 PECOS PAC ID: 4587958632 Enrollment ID: I20210910001522 |
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