| Kawar Advanced Medical Clinic Pllc | |
|
6200 Chase Rd Dearborn MI 48126-2108 | |
| (313) 278-0600 | |
| Not Available |
| Full Name | Kawar Advanced Medical Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6200 Chase Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Lama Kawar (DELIGATED OFFICIAL) |
| Authorized Official Contact | 3137034113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kawar Advanced Medical Clinic Pllc Po Box 221 Dearborn Heights MI 48127-0221 Ph: (313) 278-0600 | Kawar Advanced Medical Clinic Pllc 6200 Chase Rd Dearborn MI 48126-2108 Ph: (313) 278-0600 |
| NPI Number | 1538838941 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/09/2021 |
| Medicare PECOS PAC ID | 3274930474 |
|---|---|
| Medicare Enrollment ID | O20210929003703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538838941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lama Kawar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346745437 PECOS PAC ID: 2567711021 Enrollment ID: I20211001001819 |
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