| Nancy F Mansour-habib M.d. P,c, | |
|
3940 John R Rd Troy MI 48083-5688 | |
| (586) 365-2600 | |
| (586) 365-2602 |
| Full Name | Nancy F Mansour-habib M.d. P,c, |
|---|---|
| Speciality | Family Medicine |
| Location | 3940 John R Rd, Troy, Michigan |
| Authorized Official Name and Position | Nancy Mansour Habib (OWNER) |
| Authorized Official Contact | 5863652600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy F Mansour-habib M.d. P,c, 3940 John R Rd Troy MI 48083-5688 Ph: (586) 365-2600 | Nancy F Mansour-habib M.d. P,c, 3940 John R Rd Troy MI 48083-5688 Ph: (586) 365-2600 |
| NPI Number | 1760543557 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 01/11/2010 |
| Medicare PECOS PAC ID | 5193807089 |
|---|---|
| Medicare Enrollment ID | O20080131000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760543557 | NPI | - | NPPES |
| 4457970 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nancy F Mansour-habib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952390031 PECOS PAC ID: 2668554551 Enrollment ID: I20080131000090 |
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