Pulse Primary Care Pllc | |
15400 Michigan Ave Ste 1 Dearborn MI 48126-3491 | |
(313) 207-5767 | |
Not Available |
Full Name | Pulse Primary Care Pllc |
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Speciality | Internal Medicine |
Location | 15400 Michigan Ave Ste 1, Dearborn, Michigan |
Authorized Official Name and Position | Ali Zreik (OFFICE MANAGER) |
Authorized Official Contact | 3133923234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pulse Primary Care Pllc 15400 Michigan Ave Ste 1 Dearborn MI 48126-3491 Ph: (313) 584-3359 | Pulse Primary Care Pllc 15400 Michigan Ave Ste 1 Dearborn MI 48126-3491 Ph: (313) 207-5767 |
NPI Number | 1225613870 |
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Provider Enumeration Date | 03/16/2021 |
Last Update Date | 07/22/2024 |
Medicare PECOS PAC ID | 6406265180 |
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Medicare Enrollment ID | O20210510001846 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225613870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Belal F Abdallah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447230941 PECOS PAC ID: 2860395142 Enrollment ID: I20050811000752 |
Provider Name | Sarju Shah |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124090675 PECOS PAC ID: 5294761888 Enrollment ID: I20051229000359 |
Provider Name | Achraf Slim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689962136 PECOS PAC ID: 8921223785 Enrollment ID: I20141118000555 |
Provider Name | Wafaa Abdallah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891200440 PECOS PAC ID: 3577466853 Enrollment ID: I20180124001218 |
Provider Name | Nicole Elizabeth Kalmbach |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154894798 PECOS PAC ID: 3476891235 Enrollment ID: I20190220003439 |
Provider Name | Danielle Nicole Dababneh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285220095 PECOS PAC ID: 6709282551 Enrollment ID: I20210902002735 |
Provider Name | Ashley Stier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710502810 PECOS PAC ID: 8628469004 Enrollment ID: I20211217001968 |
Provider Name | Mohamad Badaoui |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659004919 PECOS PAC ID: 0840660098 Enrollment ID: I20230104000275 |
Provider Name | Mariam Subeih |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972288892 PECOS PAC ID: 7719347145 Enrollment ID: I20230718000792 |
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