| Senior Care Medical Group Pllc | |
|
15400 Michigan Ave Suite One Dearborn MI 48126-3491 | |
| (313) 584-3359 | |
| (313) 584-1729 |
| Full Name | Senior Care Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15400 Michigan Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Belal F Abdallah (OWNER) |
| Authorized Official Contact | 3139455450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Care Medical Group Pllc 15400 Michigan Ave Ste (1) Dearborn MI 48126 Ph: (313) 584-3359 | Senior Care Medical Group Pllc 15400 Michigan Ave Suite One Dearborn MI 48126-3491 Ph: (313) 584-3359 |
| NPI Number | 1285660571 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 08/26/2013 |
| Medicare PECOS PAC ID | 7416950118 |
|---|---|
| Medicare Enrollment ID | O20060818000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285660571 | NPI | - | NPPES |
| 4933009 | Medicaid | MI |
| Provider Name | Belal F Abdallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447230941 PECOS PAC ID: 2860395142 Enrollment ID: I20050811000752 |
| Provider Name | Achraf Slim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689962136 PECOS PAC ID: 8921223785 Enrollment ID: I20141118000555 |
| Provider Name | Wafaa Abdallah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891200440 PECOS PAC ID: 3577466853 Enrollment ID: I20180124001218 |
| Provider Name | Fatima Kaafarani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699025296 PECOS PAC ID: 1052748704 Enrollment ID: I20200219001332 |
| Provider Name | Rana Mazraani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013527167 PECOS PAC ID: 3072925254 Enrollment ID: I20201211000762 |
| Provider Name | Mohamad Badaoui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659004919 PECOS PAC ID: 0840660098 Enrollment ID: I20230104000275 |
| Provider Name | Mariam Subeih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972288892 PECOS PAC ID: 7719347145 Enrollment ID: I20230718000792 |
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