| Hamtramck General Medical Practice Pllc | |
|
9632 Conant St Hamtramck MI 48212-3305 | |
| (313) 871-1912 | |
| (313) 871-1914 |
| Full Name | Hamtramck General Medical Practice Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9632 Conant St, Hamtramck, Michigan |
| Authorized Official Name and Position | Motahar H Ahmed (OWNER) |
| Authorized Official Contact | 2482278072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamtramck General Medical Practice Pllc 9632 Conant St Hamtramck MI 48212-3305 Ph: (313) 871-1912 | Hamtramck General Medical Practice Pllc 9632 Conant St Hamtramck MI 48212-3305 Ph: (313) 871-1912 |
| NPI Number | 1295074409 |
|---|---|
| Provider Enumeration Date | 02/07/2013 |
| Last Update Date | 02/07/2013 |
| Medicare PECOS PAC ID | 7911145784 |
|---|---|
| Medicare Enrollment ID | O20130606000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295074409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301089057 (Michigan) | Primary |
| Provider Name | Motahar H Ahmed |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104931385 PECOS PAC ID: 8224108451 Enrollment ID: I20100811000573 |
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