| Icare Medical Clinic Pc | |
|
27209 Lahser Rd Ste 225 Southfield MI 48034-8401 | |
| (248) 450-3493 | |
| (248) 450-3495 |
| Full Name | Icare Medical Clinic Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 27209 Lahser Rd Ste 225, Southfield, Michigan |
| Authorized Official Name and Position | Siham Kiwan (MANAGER) |
| Authorized Official Contact | 3134158684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Icare Medical Clinic Pc 5250 Kellen Ln Bloomfield Hills MI 48302-2738 Ph: (313) 415-8684 | Icare Medical Clinic Pc 27209 Lahser Rd Ste 225 Southfield MI 48034-8401 Ph: (248) 450-3493 |
| NPI Number | 1487231833 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 04/19/2022 |
| Medicare PECOS PAC ID | 9436546785 |
|---|---|
| Medicare Enrollment ID | O20220505000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487231833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hani M Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457331969 PECOS PAC ID: 0244264596 Enrollment ID: I20050926000600 |
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