Michigan Medical Services Pllc | |
13530 Michigan Ave Dearborn MI 48126-3574 | |
(313) 945-0075 | |
Not Available |
Full Name | Michigan Medical Services Pllc |
---|---|
Speciality | Internal Medicine |
Location | 13530 Michigan Ave, Dearborn, Michigan |
Authorized Official Name and Position | Saleh Muslah (OWNER) |
Authorized Official Contact | 2482654080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Michigan Medical Services Pllc Po Box 150 Dearborn Heights MI 48127-0150 Ph: (248) 265-4080 | Michigan Medical Services Pllc 13530 Michigan Ave Dearborn MI 48126-3574 Ph: (313) 945-0075 |
NPI Number | 1033154216 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 03/06/2008 |
Medicare PECOS PAC ID | 5294746202 |
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Medicare Enrollment ID | O20060505000185 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033154216 | NPI | - | NPPES |
110H231730 | Other | MI | BCBS |
E77778 | Other | MI | HAP |
10486243 | Medicaid | MI | |
029575 | Other | MI | MIDWEST HEALTH PLAN |
7761 | Other | MI | TOTAL HEALTH CARE |
C7669 | Other | MI | MCARE |
DE7851 | Other | MI | RAILROAD MEDICARE |
131038 | Other | MI | CARE CHOICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301052435 (Michigan) | Primary |
Provider Name | Saleh Muslah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295722916 PECOS PAC ID: 6103867007 Enrollment ID: I20050520000758 |
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