Livewell Medical Group Pllc | |
3611 Carpenter St Ste 5 Hamtramck MI 48212-2784 | |
(313) 733-8286 | |
(313) 826-0899 |
Full Name | Livewell Medical Group Pllc |
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Speciality | Internal Medicine |
Location | 3611 Carpenter St Ste 5, Hamtramck, Michigan |
Authorized Official Name and Position | Diana El Masri (BILLING MANAGER) |
Authorized Official Contact | 2482150048 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Livewell Medical Group Pllc 3611 Carpenter St Ste 5 Hamtramck MI 48212-2784 Ph: (313) 733-8286 | Livewell Medical Group Pllc 3611 Carpenter St Ste 5 Hamtramck MI 48212-2784 Ph: (313) 733-8286 |
NPI Number | 1043096688 |
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Provider Enumeration Date | 09/07/2023 |
Last Update Date | 09/26/2023 |
Medicare PECOS PAC ID | 0042667529 |
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Medicare Enrollment ID | O20231104000501 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043096688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ribhi Hazin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265747463 PECOS PAC ID: 6901038140 Enrollment ID: I20140422001446 |
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