Quadir Jaleel Md Pc | |
3120 Carpenter St Hamtramck MI 48212-9802 | |
(313) 891-8246 | |
(313) 891-8247 |
Full Name | Quadir Jaleel Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 3120 Carpenter St, Hamtramck, Michigan |
Authorized Official Name and Position | Quadir Jaleel (OWNER) |
Authorized Official Contact | 7344620340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Quadir Jaleel Md Pc 17660 Clover St Brownstown MI 48193-8806 Ph: (734) 462-0340 | Quadir Jaleel Md Pc 3120 Carpenter St Hamtramck MI 48212-9802 Ph: (313) 891-8246 |
NPI Number | 1043342116 |
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Provider Enumeration Date | 03/12/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7618073149 |
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Medicare Enrollment ID | O20070430000623 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043342116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Quadir M Jaleel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225016256 PECOS PAC ID: 4688653892 Enrollment ID: I20040720000172 |
Provider Name | Monique R Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487198255 PECOS PAC ID: 2961761184 Enrollment ID: I20180116002302 |
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