| Hoover Internal Medicine Pllc | |
|
4067 Georgia St Hamtramck MI 48212 | |
| (313) 656-4014 | |
| Not Available |
| Full Name | Hoover Internal Medicine Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 4067 Georgia St, Hamtramck, Michigan |
| Authorized Official Name and Position | Ali Ali (OWNER) |
| Authorized Official Contact | 3136564014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoover Internal Medicine Pllc 2930 Holbrook St Hamtramck MI 48212-3512 Ph: (313) 656-4014 | Hoover Internal Medicine Pllc 4067 Georgia St Hamtramck MI 48212 Ph: (313) 656-4014 |
| NPI Number | 1386243178 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 1153734124 |
|---|---|
| Medicare Enrollment ID | O20210112001619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386243178 | NPI | - | NPPES |
| 802542066 | Medicaid | MI |
| Provider Name | Joy J Darden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033315361 PECOS PAC ID: 3173649068 Enrollment ID: I20100928001671 |
| Provider Name | Mohammed L Rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720689193 PECOS PAC ID: 7517186216 Enrollment ID: I20210309000240 |
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