Maya Medical Group Pllc | |
5479 Schaefer Rd Dearborn MI 48126-3222 | |
(313) 791-7992 | |
(313) 406-2961 |
Full Name | Maya Medical Group Pllc |
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Speciality | Hospitalist |
Location | 5479 Schaefer Rd, Dearborn, Michigan |
Authorized Official Name and Position | Achraf Slim (OWNER) |
Authorized Official Contact | 1337917992 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Maya Medical Group Pllc 5479 Schaefer Rd Dearborn MI 48126-3222 Ph: (313) 791-7992 | Maya Medical Group Pllc 5479 Schaefer Rd Dearborn MI 48126-3222 Ph: (313) 791-7992 |
NPI Number | 1033874300 |
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Provider Enumeration Date | 11/02/2021 |
Last Update Date | 07/18/2023 |
Medicare PECOS PAC ID | 9931599685 |
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Medicare Enrollment ID | O20211211000197 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033874300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | (* (Not Available)) | Primary |
Provider Name | Achraf Slim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689962136 PECOS PAC ID: 8921223785 Enrollment ID: I20141118000555 |
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