| Mazen Sabbaq M.d. P.c. | |
|
75 Barclay Cir Ste 205 Rochester Hills MI 48307-5821 | |
| (248) 651-6430 | |
| (248) 650-1382 |
| Full Name | Mazen Sabbaq M.d. P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 75 Barclay Cir Ste 205, Rochester Hills, Michigan |
| Authorized Official Name and Position | Mazen Sabbaq (OWNER) |
| Authorized Official Contact | 2486516430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mazen Sabbaq M.d. P.c. 75 Barclay Cir Ste 205 Rochester Hills MI 48307-5821 Ph: (248) 651-6430 | Mazen Sabbaq M.d. P.c. 75 Barclay Cir Ste 205 Rochester Hills MI 48307-5821 Ph: (248) 651-6430 |
| NPI Number | 1073564662 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 10/21/2020 |
| Medicare PECOS PAC ID | 8325051584 |
|---|---|
| Medicare Enrollment ID | O20060711000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073564662 | NPI | - | NPPES |
| 4887882 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301075366 (Michigan) | Primary |
| Provider Name | Mazen Sabbaq |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457318545 PECOS PAC ID: 5496768657 Enrollment ID: I20060711000331 |
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