| Prohealth Clinic Pllc | |
|
8713 Joseph Campau St Hamtramck MI 48212-3720 | |
| (313) 455-6977 | |
| Not Available |
| Full Name | Prohealth Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8713 Joseph Campau St, Hamtramck, Michigan |
| Authorized Official Name and Position | Yaser Ali Fadel (CEO) |
| Authorized Official Contact | 3136564748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Clinic Pllc 8713 Joseph Campau St Hamtramck MI 48212-3720 Ph: (313) 455-6977 | Prohealth Clinic Pllc 8713 Joseph Campau St Hamtramck MI 48212-3720 Ph: (313) 455-6977 |
| NPI Number | 1134680333 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 04/13/2024 |
| Medicare PECOS PAC ID | 4981947157 |
|---|---|
| Medicare Enrollment ID | O20190510001844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134680333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Waleed A Obaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003187295 PECOS PAC ID: 3173830650 Enrollment ID: I20150916000400 |
| Provider Name | Ashraf Mostafa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396976080 PECOS PAC ID: 4486952348 Enrollment ID: I20170802001594 |
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