| Medicure Internists Pc | |
|
24060 W 9 Mile Rd Southfield MI 48033-3904 | |
| (313) 443-6027 | |
| (313) 241-9401 |
| Full Name | Medicure Internists Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 24060 W 9 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Shabana Rasheed (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3134436027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicure Internists Pc 24060 W 9 Mile Rd Southfield MI 48033-3904 Ph: (313) 443-6027 | Medicure Internists Pc 24060 W 9 Mile Rd Southfield MI 48033-3904 Ph: (313) 443-6027 |
| NPI Number | 1144201880 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 2769479088 |
|---|---|
| Medicare Enrollment ID | O20040428001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144201880 | NPI | - | NPPES |
| 017019 | Other | MI | MIDWEST HEALTH PLAN |
| 11362 | Other | MI | MOLINA |
| 6241 | Other | MI | TOTAL HEALTH |
| 122007 | Other | MI | GREAT LAKES |
| 4578125-10 | Medicaid | MI | |
| 110H201950 | Other | MI | BCBC BCN |
| 1861473209 | Medicaid | MI | |
| DB8216 | Other | MI | RAILROAD MEDICARE |
| G64166 | Other | MI | HAP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301064947 (Michigan) | Primary |
| Provider Name | Shabana Rasheed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861473209 PECOS PAC ID: 9931196169 Enrollment ID: I20040430000723 |
| Provider Name | Veni J Peram |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316178718 PECOS PAC ID: 1951448901 Enrollment ID: I20091022000674 |
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