| River Oaks Primary Care Pllc | |
|
20211 Ann Arbor Trl Dearborn Heights MI 48127-2691 | |
| (313) 336-4444 | |
| Not Available |
| Full Name | River Oaks Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 20211 Ann Arbor Trl, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Mahir Elder (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3139937777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Oaks Primary Care Pllc 20211 Ann Arbor Trl Dearborn Heights MI 48127-2691 Ph: () - | River Oaks Primary Care Pllc 20211 Ann Arbor Trl Dearborn Heights MI 48127-2691 Ph: (313) 336-4444 |
| NPI Number | 1437794112 |
|---|---|
| Provider Enumeration Date | 11/17/2019 |
| Last Update Date | 11/22/2019 |
| Medicare PECOS PAC ID | 0749614675 |
|---|---|
| Medicare Enrollment ID | O20191230002081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437794112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Maha N Abu-khdeir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831383488 PECOS PAC ID: 0840511622 Enrollment ID: I20150604002218 |
| Provider Name | Redwan Asbahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730445503 PECOS PAC ID: 5395050199 Enrollment ID: I20150821013669 |
| Provider Name | Kay Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154888501 PECOS PAC ID: 3274610951 Enrollment ID: I20191204001585 |
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