| Hisham I Ahmed Md Pllc | |
|
1457 Suncrest Dr Lapeer MI 48446-1151 | |
| (810) 348-7178 | |
| Not Available |
| Full Name | Hisham I Ahmed Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1457 Suncrest Dr, Lapeer, Michigan |
| Authorized Official Name and Position | Hisham I Ahmed (OWNER) |
| Authorized Official Contact | 8103487178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hisham I Ahmed Md Pllc 8035 Woodstone Dr Grand Blanc MI 48439-7096 Ph: (810) 348-7178 | Hisham I Ahmed Md Pllc 1457 Suncrest Dr Lapeer MI 48446-1151 Ph: (810) 348-7178 |
| NPI Number | 1033445143 |
|---|---|
| Provider Enumeration Date | 10/23/2009 |
| Last Update Date | 10/23/2009 |
| Medicare PECOS PAC ID | 6204974991 |
|---|---|
| Medicare Enrollment ID | O20091118000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033445143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301076402 (Michigan) | Primary |
| Provider Name | Hisham Ibrehim Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568486413 PECOS PAC ID: 2264491026 Enrollment ID: I20041007000129 |
| Provider Name | Revark D Kammo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326335241 PECOS PAC ID: 1456577428 Enrollment ID: I20140728001952 |
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