| Sami Abu Farha Md Pc | |
|
5280 Oakman Blvd Dearborn MI 48126-4044 | |
| (313) 846-1997 | |
| (313) 846-1696 |
| Full Name | Sami Abu Farha Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5280 Oakman Blvd, Dearborn, Michigan |
| Authorized Official Name and Position | Sami Abu Farha (OWNER) |
| Authorized Official Contact | 3138461997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sami Abu Farha Md Pc 6175 Farmington Rd West Bloomfield MI 48322-2202 Ph: (248) 613-0602 | Sami Abu Farha Md Pc 5280 Oakman Blvd Dearborn MI 48126-4044 Ph: (313) 846-1997 |
| NPI Number | 1073664843 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 09/08/2022 |
| Medicare PECOS PAC ID | 2264486372 |
|---|---|
| Medicare Enrollment ID | O20050310000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073664843 | NPI | - | NPPES |
| F94432 | Other | MI | HAP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sami Abu Farha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104895697 PECOS PAC ID: 2062466170 Enrollment ID: I20050315000207 |
| Provider Name | Alan Hussein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306386339 PECOS PAC ID: 4789969502 Enrollment ID: I20170317001496 |
| Provider Name | Mahmoud Dwaik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881122935 PECOS PAC ID: 9436427093 Enrollment ID: I20170622002463 |
| Provider Name | Randon Carl Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093217218 PECOS PAC ID: 2567715451 Enrollment ID: I20181023001097 |
| Provider Name | Christina Shohatee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912586967 PECOS PAC ID: 8628486321 Enrollment ID: I20210419001244 |
| Provider Name | Christine Fnp-c Ghattas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063004695 PECOS PAC ID: 2860884038 Enrollment ID: I20220120000634 |
| Provider Name | Sakniah Hachem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043935935 PECOS PAC ID: 0446614176 Enrollment ID: I20230914001340 |
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