| Medical Consultant Pllc | |
|
4507 Rolling Ridge Rd W Bloomfield MI 48323-3339 | |
| (248) 952-7445 | |
| Not Available |
| Full Name | Medical Consultant Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4507 Rolling Ridge Rd, W Bloomfield, Michigan |
| Authorized Official Name and Position | Wael Taha (MEDICAL DOCTOR) |
| Authorized Official Contact | 2489527445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Consultant Pllc 4507 Rolling Ridge Rd W Bloomfield MI 48323-3339 Ph: (248) 952-7445 | Medical Consultant Pllc 4507 Rolling Ridge Rd W Bloomfield MI 48323-3339 Ph: (248) 952-7445 |
| NPI Number | 1417532847 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/17/2021 |
| Medicare PECOS PAC ID | 5496164568 |
|---|---|
| Medicare Enrollment ID | O20210503001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417532847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Wael Taha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578501748 PECOS PAC ID: 0345204657 Enrollment ID: I20101021001065 |
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