Hayat Clinic Pllc | |
3055 Old Highway 8 Ste 211 Minneapolis MN 55418-2492 | |
(507) 400-7387 | |
Not Available |
Full Name | Hayat Clinic Pllc |
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Speciality | Clinic/Center |
Location | 3055 Old Highway 8 Ste 211, Minneapolis, Minnesota |
Authorized Official Name and Position | Bashir Moallin (OWNER) |
Authorized Official Contact | 5074007387 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hayat Clinic Pllc 3055 Old Highway 8 Ste 211 Minneapolis MN 55418-2492 Ph: () - | Hayat Clinic Pllc 3055 Old Highway 8 Ste 211 Minneapolis MN 55418-2492 Ph: (507) 400-7387 |
NPI Number | 1083489272 |
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Provider Enumeration Date | 11/17/2023 |
Last Update Date | 11/17/2023 |
Medicare PECOS PAC ID | 4183063175 |
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Medicare Enrollment ID | O20240424000983 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083489272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Bashir S Moallin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144840463 PECOS PAC ID: 6608299821 Enrollment ID: I20220510002368 |
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