Hamtramck Pediatrics | |
12033 Conant Road Hamtramck MI 48212 | |
(313) 366-4000 | |
(313) 366-4001 |
Full Name | Hamtramck Pediatrics |
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Speciality | Clinic/center - Primary Care |
Location | 12033 Conant Road, Hamtramck, Michigan |
Authorized Official Name and Position | Moniruzzaman Khan (PEDIATRICIAN) |
Authorized Official Contact | 3133664000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hamtramck Pediatrics 12033 Conant Road Hamtramck MI 48212 Ph: (313) 366-4000 | Hamtramck Pediatrics 12033 Conant Road Hamtramck MI 48212 Ph: (313) 366-4000 |
NPI Number | 1033408935 |
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Provider Enumeration Date | 03/31/2011 |
Last Update Date | 02/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033408935 | NPI | - | NPPES |
4149524 | Medicaid | MI | |
G97370 | Other | MI | HAP UPIN NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 4301057394 (Michigan) | Primary |
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