| Prime Care One Urgent Care Pllc | |
|
5728 Schaefer Rd Suite 103 Dearborn MI 48126-2298 | |
| (313) 581-8080 | |
| Not Available |
| Full Name | Prime Care One Urgent Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5728 Schaefer Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Hussein Ajrouche (M.D.) |
| Authorized Official Contact | 3132442589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care One Urgent Care Pllc 5728 Schaefer Rd Suite 103 Dearborn MI 48126-2298 Ph: (313) 581-8080 | Prime Care One Urgent Care Pllc 5728 Schaefer Rd Suite 103 Dearborn MI 48126-2298 Ph: (313) 581-8080 |
| NPI Number | 1427435684 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 06/19/2023 |
| Medicare PECOS PAC ID | 7618326380 |
|---|---|
| Medicare Enrollment ID | O20231207001370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427435684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Fouad A Dakhlallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679592877 PECOS PAC ID: 9830128958 Enrollment ID: I20050809000963 |
| Provider Name | Hussein Ajrouche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073675427 PECOS PAC ID: 2163521220 Enrollment ID: I20070702000061 |
| Provider Name | Talal Sabrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124668264 PECOS PAC ID: 3072646710 Enrollment ID: I20201124000756 |
| Provider Name | Abdul Alawie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053183 PECOS PAC ID: 3072996750 Enrollment ID: I20220812000666 |
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