| Internal Medicine Health Center Pc | |
|
5095 W Bristol Rd Suite B Flint MI 48507-2971 | |
| (810) 252-8320 | |
| Not Available |
| Full Name | Internal Medicine Health Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5095 W Bristol Rd, Flint, Michigan |
| Authorized Official Name and Position | Abeer S Fayyad (PRESIDENT/OWNER) |
| Authorized Official Contact | 8102528320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Health Center Pc 5095 W Bristol Rd Suite B Flint MI 48507-2971 Ph: (810) 252-8320 | Internal Medicine Health Center Pc 5095 W Bristol Rd Suite B Flint MI 48507-2971 Ph: (810) 252-8320 |
| NPI Number | 1265755243 |
|---|---|
| Provider Enumeration Date | 03/05/2010 |
| Last Update Date | 03/30/2010 |
| Medicare PECOS PAC ID | 1456483668 |
|---|---|
| Medicare Enrollment ID | O20100722000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265755243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301071839 (Michigan) | Primary |
| Provider Name | Jose B Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154305241 PECOS PAC ID: 7517973902 Enrollment ID: I20060329000335 |
| Provider Name | Abeer Fayyad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093704785 PECOS PAC ID: 2264572924 Enrollment ID: I20091211000033 |
| Provider Name | Sarina R Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184013419 PECOS PAC ID: 9537486741 Enrollment ID: I20150327001708 |
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