| Halo Tele-joy Pllc | |
|
8270 N Telegraph Rd Dearborn Heights MI 48127-1435 | |
| (313) 561-4540 | |
| (313) 561-9515 |
| Full Name | Halo Tele-joy Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8270 N Telegraph Rd, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Rachelle Williams (CREDENTIALING MANAGER/ADMIN) |
| Authorized Official Contact | 7342457822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halo Tele-joy Pllc 8270 N Telegraph Rd Dearborn Heights MI 48127-1435 Ph: (313) 561-4540 | Halo Tele-joy Pllc 8270 N Telegraph Rd Dearborn Heights MI 48127-1435 Ph: (313) 561-4540 |
| NPI Number | 1841805173 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 4880013176 |
|---|---|
| Medicare Enrollment ID | O20201006002729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841805173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Redwan Asbahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730445503 PECOS PAC ID: 5395050199 Enrollment ID: I20150821013669 |
| Provider Name | Mohamed Layak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508445115 PECOS PAC ID: 6901215011 Enrollment ID: I20210430001760 |
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