| Richard R Hammoud Md Pc | |
|
23865 Michigan Ave Dearborn MI 48124-1805 | |
| (313) 562-9588 | |
| (313) 562-9589 |
| Full Name | Richard R Hammoud Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23865 Michigan Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Richard Hammoud (OWNER) |
| Authorized Official Contact | 3132827645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard R Hammoud Md Pc 23865 Michigan Ave Dearborn MI 48124-1805 Ph: (313) 562-9588 | Richard R Hammoud Md Pc 23865 Michigan Ave Dearborn MI 48124-1805 Ph: (313) 562-9588 |
| NPI Number | 1568754349 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 07/13/2012 |
| Medicare PECOS PAC ID | 8628247772 |
|---|---|
| Medicare Enrollment ID | O20110808000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568754349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301078443 (Michigan) | Primary |
| Provider Name | Richard R Hammoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255330767 PECOS PAC ID: 2860469483 Enrollment ID: I20040915000510 |
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