Hba Internal Medicine Pllc | |
500 Cascade West Pkwy Se Grand Rapids MI 49546-2164 | |
(616) 682-7275 | |
(616) 303-4212 |
Full Name | Hba Internal Medicine Pllc |
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Speciality | Internal Medicine |
Location | 500 Cascade West Pkwy Se, Grand Rapids, Michigan |
Authorized Official Name and Position | Hakima Aqel (MD/OWNER) |
Authorized Official Contact | 6166827275 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hba Internal Medicine Pllc 500 Cascade West Pkwy Se Grand Rapids MI 49546-2164 Ph: (616) 682-7275 | Hba Internal Medicine Pllc 500 Cascade West Pkwy Se Grand Rapids MI 49546-2164 Ph: (616) 682-7275 |
NPI Number | 1568055713 |
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Provider Enumeration Date | 02/18/2021 |
Last Update Date | 02/19/2021 |
Medicare PECOS PAC ID | 2961819909 |
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Medicare Enrollment ID | O20210318001915 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568055713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Hakima Aqel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710995915 PECOS PAC ID: 1456242122 Enrollment ID: I20040323000059 |
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