| Park Plaza Md Pc | |
|
G1071 N Ballenger Hwy Ste 206 Flint MI 48504-4453 | |
| (810) 234-1651 | |
| (810) 600-3043 |
| Full Name | Park Plaza Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | G1071 N Ballenger Hwy Ste 206, Flint, Michigan |
| Authorized Official Name and Position | Ahmed A Arif (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8102341651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Plaza Md Pc G1071 N Ballenger Hwy Ste 206 Flint MI 48504-4453 Ph: (810) 234-1651 | Park Plaza Md Pc G1071 N Ballenger Hwy Ste 206 Flint MI 48504-4453 Ph: (810) 234-1651 |
| NPI Number | 1790545390 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 03/20/2024 |
| Medicare PECOS PAC ID | 3678018561 |
|---|---|
| Medicare Enrollment ID | O20240716001432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790545390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmed Ayoub |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922045921 PECOS PAC ID: 4789573254 Enrollment ID: I20040323000021 |
| Provider Name | Ahmed A Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841249836 PECOS PAC ID: 0547237463 Enrollment ID: I20040918000075 |
| Provider Name | Mohammed Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639210669 PECOS PAC ID: 1951475953 Enrollment ID: I20080809000062 |
| Provider Name | Jamie Lynn Braden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053882209 PECOS PAC ID: 7214340777 Enrollment ID: I20201230002854 |
| Provider Name | Abdul Haleem Ibrahim Kazmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164928230 PECOS PAC ID: 5193103554 Enrollment ID: I20220526001001 |
| Provider Name | Ahmed Abdul Qadir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669033700 PECOS PAC ID: 1951637099 Enrollment ID: I20220526002493 |
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