| Mohammad Nadeemullah Pllc | |
|
5400 Waldenhill Ct Superior Twp MI 48198-9654 | |
| (734) 972-3692 | |
| (734) 761-8787 |
| Full Name | Mohammad Nadeemullah Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5400 Waldenhill Ct, Superior Twp, Michigan |
| Authorized Official Name and Position | Mohammed Nadeemullah (OWNER) |
| Authorized Official Contact | 7349723692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Nadeemullah Pllc 5400 Waldenhill Ct Superior Twp MI 48198-9654 Ph: (734) 972-3692 | Mohammad Nadeemullah Pllc 5400 Waldenhill Ct Superior Twp MI 48198-9654 Ph: (734) 972-3692 |
| NPI Number | 1568074375 |
|---|---|
| Provider Enumeration Date | 08/21/2020 |
| Last Update Date | 10/20/2020 |
| Medicare PECOS PAC ID | 4981024809 |
|---|---|
| Medicare Enrollment ID | O20201015000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568074375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammad Nadeemullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821031576 PECOS PAC ID: 2365420551 Enrollment ID: I20040908000061 |
Gaps Health In P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5319 Betheny Cir, Superior Twp, MI 48198 Phone: 682-206-3118 |