| Internal Medicine Specialties Pc | |
|
21409 Kelly Rd Ste 400 Eastpointe MI 48021-3264 | |
| (586) 777-0630 | |
| (586) 777-0631 |
| Full Name | Internal Medicine Specialties Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21409 Kelly Rd Ste 400, Eastpointe, Michigan |
| Authorized Official Name and Position | Malaz Alatassi (MANAGER) |
| Authorized Official Contact | 2489530526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Specialties Pc 21409 Kelly Rd Ste 400 Eastpointe MI 48021-3264 Ph: (586) 777-0630 | Internal Medicine Specialties Pc 21409 Kelly Rd Ste 400 Eastpointe MI 48021-3264 Ph: (586) 777-0630 |
| NPI Number | 1457583692 |
|---|---|
| Provider Enumeration Date | 08/21/2009 |
| Last Update Date | 11/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457583692 | NPI | - | NPPES |
| 1841571544 | Other | MI | DR SUNBULI NPI |
| 1105004461 | Other | MI | BCBSM |
| 1265559488 | Other | MI | DR M HAMMOUDE NPI |
| 1457583692 | Other | MI | GROUP NPI |
| 1457583692 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Michigan) | Primary |
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