| My Doctors Clinic Pllc | |
|
4353 Maple St Dearborn MI 48126-3535 | |
| (313) 908-0004 | |
| (313) 908-7873 |
| Full Name | My Doctors Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4353 Maple St, Dearborn, Michigan |
| Authorized Official Name and Position | Daoud A Faraj (OWNER) |
| Authorized Official Contact | 3139089004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Doctors Clinic Pllc 13530 Michigan Ave Ste 300 Dearborn MI 48126-3555 Ph: (313) 908-9004 | My Doctors Clinic Pllc 4353 Maple St Dearborn MI 48126-3535 Ph: (313) 908-0004 |
| NPI Number | 1346832193 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 4082098249 |
|---|---|
| Medicare Enrollment ID | O20220907002378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346832193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Daoud Abbas Faraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649213463 PECOS PAC ID: 3678529138 Enrollment ID: I20050328000774 |
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