| Hazimeh Primary Care Pllc | |
|
7534 Wyoming St Dearborn MI 48126-1690 | |
| (313) 455-9765 | |
| Not Available |
| Full Name | Hazimeh Primary Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7534 Wyoming St, Dearborn, Michigan |
| Authorized Official Name and Position | Ali Hazimeh (PRESIDENT / OWNER) |
| Authorized Official Contact | 3134151515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazimeh Primary Care Pllc 7534 Wyoming St Dearborn MI 48126-1690 Ph: (313) 455-9765 | Hazimeh Primary Care Pllc 7534 Wyoming St Dearborn MI 48126-1690 Ph: (313) 455-9765 |
| NPI Number | 1194364984 |
|---|---|
| Provider Enumeration Date | 12/27/2019 |
| Last Update Date | 07/15/2022 |
| Medicare PECOS PAC ID | 1557775756 |
|---|---|
| Medicare Enrollment ID | O20210129001390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194364984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ali Hazimeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437413721 PECOS PAC ID: 3375854052 Enrollment ID: I20150622002162 |
| Provider Name | Mirvat Bazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346844180 PECOS PAC ID: 9032521885 Enrollment ID: I20201218002195 |
| Provider Name | Houda Mahmoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194328534 PECOS PAC ID: 8123430725 Enrollment ID: I20230110000538 |
| Provider Name | Hussein Ayoub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073204350 PECOS PAC ID: 6305209727 Enrollment ID: I20230831002763 |
| Provider Name | Ola Harajli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457065930 PECOS PAC ID: 7214387547 Enrollment ID: I20231228000993 |
| Provider Name | Sarah Kanaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841076106 PECOS PAC ID: 2062864416 Enrollment ID: I20240122001478 |
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