| Redford Primary Care Pc | |
|
14671 Telegraph Rd Redford MI 48239-3300 | |
| (734) 560-9451 | |
| (313) 948-3040 |
| Full Name | Redford Primary Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14671 Telegraph Rd, Redford, Michigan |
| Authorized Official Name and Position | Zahoorul Hassan (MD) |
| Authorized Official Contact | 7345609451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redford Primary Care Pc 14671 Telegraph Rd Redford MI 48239-3300 Ph: (734) 560-9451 | Redford Primary Care Pc 14671 Telegraph Rd Redford MI 48239-3300 Ph: (734) 560-9451 |
| NPI Number | 1164891362 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 09/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164891362 | NPI | - | NPPES |
| 4301094866 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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