| Pioneer Medical And Urgent Care Pllc | |
|
6675 Rockdale St Dearborn Hts MI 48127-4342 | |
| (313) 330-0033 | |
| Not Available |
| Full Name | Pioneer Medical And Urgent Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6675 Rockdale St, Dearborn Hts, Michigan |
| Authorized Official Name and Position | Mohamad El Adballah (OWNER PROVIDER) |
| Authorized Official Contact | 3133300033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Medical And Urgent Care Pllc 26200 Ford Rd Unit 908 Dearborn Hts MI 48127-4342 Ph: (313) 330-0033 | Pioneer Medical And Urgent Care Pllc 6675 Rockdale St Dearborn Hts MI 48127-4342 Ph: (313) 330-0033 |
| NPI Number | 1114656576 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 06/09/2022 |
| Medicare PECOS PAC ID | 6406238153 |
|---|---|
| Medicare Enrollment ID | O20220728000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114656576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mohamad El Abdallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376993865 PECOS PAC ID: 1557690757 Enrollment ID: I20190913001135 |
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