| Hammoud Medical Center Pc | |
|
22146 Ford Rd #3 Dearborn Heights MI 48127-2419 | |
| (313) 562-9588 | |
| (313) 562-9589 |
| Full Name | Hammoud Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 22146 Ford Rd, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Richard Hammoud (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3135629588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hammoud Medical Center Pc Po Box 77700 Dept 77261 Detroit MI 48277-0700 Ph: (313) 562-9588 | Hammoud Medical Center Pc 22146 Ford Rd #3 Dearborn Heights MI 48127-2419 Ph: (313) 562-9588 |
| NPI Number | 1922006048 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 04/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922006048 | NPI | - | NPPES |
| 1255330767 | Medicaid | MI | |
| 080H223200 | Other | MI | BC GROUP |
| 080H223200 | Other | MI | BCN GROUP |
| DC4758 | Other | MI | RAILROAD MEDICARE GROUP |
| 4650667 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301078769 (Michigan) | Primary |
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