| Mizrahi Medicine | |
|
7633 E Jefferson Ave Ste 250 Detroit MI 48214-3731 | |
| (313) 821-3338 | |
| (313) 823-5363 |
| Full Name | Mizrahi Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 7633 E Jefferson Ave Ste 250, Detroit, Michigan |
| Authorized Official Name and Position | Daniel S Mizrahi (OWNER) |
| Authorized Official Contact | 2488903994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mizrahi Medicine 7633 E Jefferson Ave Ste 250 Detroit MI 48214-3731 Ph: (313) 821-3338 | Mizrahi Medicine 7633 E Jefferson Ave Ste 250 Detroit MI 48214-3731 Ph: (313) 821-3338 |
| NPI Number | 1023522414 |
|---|---|
| Provider Enumeration Date | 11/22/2017 |
| Last Update Date | 11/22/2017 |
| Medicare PECOS PAC ID | 7012275407 |
|---|---|
| Medicare Enrollment ID | O20171212001887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023522414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101016034 (Michigan) | Primary |
| Provider Name | Daniel S Mizrahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740499029 PECOS PAC ID: 3971694084 Enrollment ID: I20070803000253 |
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