Instadr Professional Corporation | |
5164 Plymouth Rd Ann Arbor MI 48105-9520 | |
(310) 402-4589 | |
Not Available |
Full Name | Instadr Professional Corporation |
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Speciality | Family Medicine |
Location | 5164 Plymouth Rd, Ann Arbor, Michigan |
Authorized Official Name and Position | Ali Chahine (CEO) |
Authorized Official Contact | 3104024589 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Instadr Professional Corporation 5164 Plymouth Rd Ann Arbor MI 48105-9520 Ph: () - | Instadr Professional Corporation 5164 Plymouth Rd Ann Arbor MI 48105-9520 Ph: (310) 402-4589 |
NPI Number | 1447969282 |
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Provider Enumeration Date | 11/21/2022 |
Last Update Date | 09/28/2023 |
Medicare PECOS PAC ID | 9133598006 |
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Medicare Enrollment ID | O20221215002263 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447969282 | NPI | - | NPPES |
Provider Name | Leyla Berry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003345729 PECOS PAC ID: 0345513461 Enrollment ID: I20170911003001 |
Provider Name | Ali Chahine |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013545961 PECOS PAC ID: 7315360211 Enrollment ID: I20221215002365 |
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