| Hamtramck Medical Group, Pc | |
|
9222 Joseph Campau St Hamtramck MI 48212-3731 | |
| (313) 872-5555 | |
| (313) 872-5009 |
| Full Name | Hamtramck Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9222 Joseph Campau St, Hamtramck, Michigan |
| Authorized Official Name and Position | Hazem Samir-moez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3134102010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamtramck Medical Group, Pc 27141 Kennedy St Dearborn Heights MI 48127-1669 Ph: (313) 410-2010 | Hamtramck Medical Group, Pc 9222 Joseph Campau St Hamtramck MI 48212-3731 Ph: (313) 872-5555 |
| NPI Number | 1467517862 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739143074 |
|---|---|
| Medicare Enrollment ID | O20041116000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467517862 | NPI | - | NPPES |
| 4636926 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301063463 (Michigan) | Primary |
| Provider Name | Hazem Samir-moez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992734214 PECOS PAC ID: 0547171936 Enrollment ID: I20040331000825 |
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