| Mercy Family Care Center Pllc | |
|
4091 Chatwal Ct Troy MI 48085-0001 | |
| (248) 854-4206 | |
| Not Available |
| Full Name | Mercy Family Care Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4091 Chatwal Ct, Troy, Michigan |
| Authorized Official Name and Position | Raad Al-khouri (OWNER) |
| Authorized Official Contact | 2488544206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Family Care Center Pllc 4091 Chatwal Ct Troy MI 48085-0001 Ph: (248) 854-4206 | Mercy Family Care Center Pllc 4091 Chatwal Ct Troy MI 48085-0001 Ph: (248) 854-4206 |
| NPI Number | 1598202467 |
|---|---|
| Provider Enumeration Date | 01/30/2017 |
| Last Update Date | 02/17/2017 |
| Medicare PECOS PAC ID | 6204112303 |
|---|---|
| Medicare Enrollment ID | O20170403002644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598202467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301094540 (Michigan) | Primary |
| 207R00000X | Internal Medicine | 4301092314 (Michigan) | Secondary |
| Provider Name | Raad R Alkhouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467616904 PECOS PAC ID: 6507029931 Enrollment ID: I20120523000269 |
| Provider Name | Ghidah Al-khouri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427289081 PECOS PAC ID: 0648494427 Enrollment ID: I20140618000090 |
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