| Ribhi Hazin Md Pc | |
|
4777 E Outer Dr Ste 1147 Detroit MI 48234-3241 | |
| (734) 699-2900 | |
| (313) 731-0213 |
| Full Name | Ribhi Hazin Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4777 E Outer Dr Ste 1147, Detroit, Michigan |
| Authorized Official Name and Position | Ribhi Hazin (OWNER PROVIDER) |
| Authorized Official Contact | 7346992900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ribhi Hazin Md Pc Po Box 393 Dearborn Heights MI 48127-0393 Ph: (734) 699-2900 | Ribhi Hazin Md Pc 4777 E Outer Dr Ste 1147 Detroit MI 48234-3241 Ph: (734) 699-2900 |
| NPI Number | 1457727307 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 11/14/2019 |
| Medicare PECOS PAC ID | 2062729833 |
|---|---|
| Medicare Enrollment ID | O20150911001346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457727307 | NPI | - | NPPES |
| 1457727307 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301097437 (Michigan) | Primary |
| Provider Name | Melissa Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912282096 PECOS PAC ID: 5496913923 Enrollment ID: I20120229000790 |
| Provider Name | David R Weidendorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497088876 PECOS PAC ID: 4688821739 Enrollment ID: I20120824000796 |
| Provider Name | Ribhi Hazin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265747463 PECOS PAC ID: 6901038140 Enrollment ID: I20140422001446 |
| Provider Name | Timiko L Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326471764 PECOS PAC ID: 9931416500 Enrollment ID: I20150915000136 |
| Provider Name | Idalys Ortega Sotolongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376039958 PECOS PAC ID: 6507109519 Enrollment ID: I20190515000254 |
| Provider Name | Ammar Charestan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295181543 PECOS PAC ID: 3779874110 Enrollment ID: I20200221002750 |
| Provider Name | Marilyn Pelletier Madajczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578730875 PECOS PAC ID: 7517371727 Enrollment ID: I20210129001937 |
Central City Health (cherry Health) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8333 Townsend St, Detroit, MI 48213 Phone: 313-831-3160 | |
Smith Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 W Outer Dr, Suite 230, Detroit, MI 48235 Phone: 313-535-0900 Fax: 313-535-3810 | |
St. John Hospital And Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 | |
Chass Mack Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3426 Mack Avenue, Detroit, MI 48207 Phone: 313-849-3920 | |
Health Care Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17141 Hayes St, Detroit, MI 48205 Phone: 313-245-1700 Fax: 313-245-1701 | |
Mizrahi Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7633 E Jefferson Ave Ste 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
T L Sea Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15201 W Mcnichols Rd, Detroit, MI 48235 Phone: 313-516-3142 |