Sabah Internal Medicine Pllc | |
18263 E 10 Mile Rd Ste # D Roseville MI 48066-5805 | |
(586) 438-3535 | |
(313) 879-5533 |
Full Name | Sabah Internal Medicine Pllc |
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Speciality | Internal Medicine |
Location | 18263 E 10 Mile Rd, Roseville, Michigan |
Authorized Official Name and Position | Mohammed Sabah (PRESIDENT) |
Authorized Official Contact | 8108771555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sabah Internal Medicine Pllc 17633 White Pine Ct Northville MI 48168-4358 Ph: (586) 438-3535 | Sabah Internal Medicine Pllc 18263 E 10 Mile Rd Ste # D Roseville MI 48066-5805 Ph: (586) 438-3535 |
NPI Number | 1770029621 |
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Provider Enumeration Date | 01/17/2017 |
Last Update Date | 01/17/2017 |
Medicare PECOS PAC ID | 3274816814 |
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Medicare Enrollment ID | O20170206002659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770029621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301076780 (Michigan) | Primary |
Provider Name | Sabah Mohyaddin Mohammed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366484206 PECOS PAC ID: 4789697210 Enrollment ID: I20060728000119 |
Provider Name | Mazin M Deen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740625508 PECOS PAC ID: 0840592234 Enrollment ID: I20170206001827 |
Provider Name | Mohanad M Deen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881258820 PECOS PAC ID: 2264766187 Enrollment ID: I20220829002142 |
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