| Integral Health Hub | |
|
100 W Big Beaver Rd Ste 200 Troy MI 48084-5283 | |
| (313) 217-1155 | |
| (313) 462-0620 |
| Full Name | Integral Health Hub |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 W Big Beaver Rd Ste 200, Troy, Michigan |
| Authorized Official Name and Position | Ayesha Rahman (OWNER) |
| Authorized Official Contact | 3132171155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Health Hub 100 W Big Beaver Rd Ste 200 Troy MI 48084-5283 Ph: (313) 217-1155 | Integral Health Hub 100 W Big Beaver Rd Ste 200 Troy MI 48084-5283 Ph: (313) 217-1155 |
| NPI Number | 1720864069 |
|---|---|
| Provider Enumeration Date | 09/04/2023 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 6800250192 |
|---|---|
| Medicare Enrollment ID | O20230920001120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720864069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Md A Rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427723394 PECOS PAC ID: 2365849718 Enrollment ID: I20210928000328 |
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