Integritas Wellness Institute Plc | |
1639 E Big Beaver Rd Ste 202 Troy MI 48083-2054 | |
(248) 606-4190 | |
(248) 598-5088 |
Full Name | Integritas Wellness Institute Plc |
---|---|
Speciality | Internal Medicine |
Location | 1639 E Big Beaver Rd Ste 202, Troy, Michigan |
Authorized Official Name and Position | Aya Rifai (PRESIDENT) |
Authorized Official Contact | 2489533780 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Integritas Wellness Institute Plc Po Box 829 Bloomfld Hls MI 48303-0829 Ph: () - | Integritas Wellness Institute Plc 1639 E Big Beaver Rd Ste 202 Troy MI 48083-2054 Ph: (248) 606-4190 |
NPI Number | 1902397334 |
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Provider Enumeration Date | 05/22/2018 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 5092062133 |
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Medicare Enrollment ID | O20180720002027 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902397334 | NPI | - | NPPES |
4301096697 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Aya Rifai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114194958 PECOS PAC ID: 7810168697 Enrollment ID: I20110928000164 |
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