Immi Health Center Pllc | |
5810 Gratiot Rd Saginaw MI 48638-6063 | |
(989) 239-9158 | |
Not Available |
Full Name | Immi Health Center Pllc |
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Speciality | Internal Medicine |
Location | 5810 Gratiot Rd, Saginaw, Michigan |
Authorized Official Name and Position | Jamal Fadhel (LICENSED PHYSICIAN IN CHARGE) |
Authorized Official Contact | 9899061155 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Immi Health Center Pllc 2840 Gulfstream Dr Saginaw MI 48603-6187 Ph: (989) 239-9158 | Immi Health Center Pllc 5810 Gratiot Rd Saginaw MI 48638-6063 Ph: (989) 239-9158 |
NPI Number | 1558144386 |
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Provider Enumeration Date | 08/15/2023 |
Last Update Date | 08/15/2023 |
Medicare PECOS PAC ID | 0446614101 |
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Medicare Enrollment ID | O20230913002586 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558144386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jamal Fadhel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790212637 PECOS PAC ID: 6406278910 Enrollment ID: I20200629002754 |
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