Maha Mediplex Pllc | |
22101 Moross St Johns Hospital & Medical Center Detroit MI 48236 | |
(313) 343-4000 | |
Not Available |
Full Name | Maha Mediplex Pllc |
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Speciality | Internal Medicine |
Location | 22101 Moross, Detroit, Michigan |
Authorized Official Name and Position | Humaira Rizvi (PRESIDENT) |
Authorized Official Contact | 3139030425 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maha Mediplex Pllc 2644 Woodward Ave Detroit MI 48201-3029 Ph: (313) 903-0425 | Maha Mediplex Pllc 22101 Moross St Johns Hospital & Medical Center Detroit MI 48236 Ph: (313) 343-4000 |
NPI Number | 1558017301 |
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Provider Enumeration Date | 03/01/2022 |
Last Update Date | 03/01/2022 |
Medicare PECOS PAC ID | 7810367406 |
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Medicare Enrollment ID | O20221222001061 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558017301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Humaira Rizvi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225447766 PECOS PAC ID: 8426342031 Enrollment ID: I20170615002682 |
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