| Michigan Internal Medicine Pc | |
|
3400 Fleckenstein Rd Suite 2 Flint MI 48507-3043 | |
| (810) 230-9323 | |
| (810) 230-9328 |
| Full Name | Michigan Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 Fleckenstein Rd, Flint, Michigan |
| Authorized Official Name and Position | Kazem Hak (OWNER/PRESIDENT) |
| Authorized Official Contact | 8102309323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Internal Medicine Pc 3400 Fleckenstein Rd Suite 2 Flint MI 48507-3043 Ph: (810) 230-9323 | Michigan Internal Medicine Pc 3400 Fleckenstein Rd Suite 2 Flint MI 48507-3043 Ph: (810) 230-9323 |
| NPI Number | 1295757854 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 10/07/2014 |
| Medicare PECOS PAC ID | 0042109555 |
|---|---|
| Medicare Enrollment ID | O20040319000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295757854 | NPI | - | NPPES |
| 4371320 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301067151 (Michigan) | Primary |
| Provider Name | Kazem Hak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083688725 PECOS PAC ID: 1759270275 Enrollment ID: I20040323001520 |
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