| M Haitham Al-midani Md Pc | |
|
4050 Walli Strasse Dr Ste 1 Burton MI 48509-1727 | |
| (810) 743-0680 | |
| (810) 743-0020 |
| Full Name | M Haitham Al-midani Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4050 Walli Strasse Dr Ste 1, Burton, Michigan |
| Authorized Official Name and Position | Mohammad Haitham Al-midani (PRESIDENT / PHYSICIAN) |
| Authorized Official Contact | 8107430680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Haitham Al-midani Md Pc 4050 Walli Strasse Dr Ste 1 Burton MI 48509-1727 Ph: (810) 743-0680 | M Haitham Al-midani Md Pc 4050 Walli Strasse Dr Ste 1 Burton MI 48509-1727 Ph: (810) 743-0680 |
| NPI Number | 1568638047 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Medicare PECOS PAC ID | 7012087315 |
|---|---|
| Medicare Enrollment ID | O20080529000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568638047 | NPI | - | NPPES |
| C2751 | Other | MI | MCARE |
| 1002512771 | Other | MI | BCBS |
| 212241 | Other | MI | MCLAREN HEALTH PLAN |
| A75929 | Other | MI | HEALTH ALLIANCE PLAN |
| 1388637 TYPE 10 | Medicaid | MI | |
| 30109 | Other | MI | CARESOURCE |
| 1100661 | Other | MI | HEALTHPLUS |
| 0251277 | Other | MI | BCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301037021 (Michigan) | Primary |
| Provider Name | Veena Kaul |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134205834 PECOS PAC ID: 6507768868 Enrollment ID: I20040126000778 |
| Provider Name | Qazi S Azher |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902914062 PECOS PAC ID: 5294728648 Enrollment ID: I20040412001593 |
| Provider Name | Terry S Krznarich |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467560425 PECOS PAC ID: 8921091372 Enrollment ID: I20040413001543 |
| Provider Name | Omar Al-subee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194903708 PECOS PAC ID: 0143209478 Enrollment ID: I20040719001192 |
| Provider Name | Husain Ali Saleh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992743017 PECOS PAC ID: 8426060682 Enrollment ID: I20060707000175 |
| Provider Name | Muhammad H Al-midani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366527160 PECOS PAC ID: 3678643970 Enrollment ID: I20080529000286 |
| Provider Name | Steven R Ball |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558500959 PECOS PAC ID: 8224195508 Enrollment ID: I20090401000301 |
| Provider Name | Mustafa Alnounou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235165481 PECOS PAC ID: 4284632183 Enrollment ID: I20090427000449 |
| Provider Name | Cheryl L Ray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861896946 PECOS PAC ID: 6103148267 Enrollment ID: I20141201002008 |
Shukairy P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Center Rd Bldg B, Burton, MI 48509 Phone: 810-742-0225 Fax: 810-742-7990 | |
Genesys Integrated Group Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3495 S Center Rd, Burton, MI 48519 Phone: 810-424-2007 Fax: 810-232-2266 | |
Learning Dreams Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1091 Creekwood Trl, Burton, MI 48509 Phone: 810-391-2923 Fax: 810-391-2968 | |
Tommy S. Stevens M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2298 S Center Rd, Burton, MI 48519 Phone: 810-742-2544 Fax: 810-742-2566 | |
M. Haitham Al-midani, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4050 Walli Strasse Dr, Burton, MI 48509 Phone: 810-743-0680 | |
Dr Mark P Williams Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4067 E Court St # 10-11, Burton, MI 48509 Phone: 810-715-2020 | |
Ascension Medical Group Genesys Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3495 S Center Rd, Burton, MI 48519 Phone: 810-424-2136 Fax: 810-249-4149 |