| Skywalk Internal Medicine, Pc | |
|
44344 Dequindre Rd Suite 540 Sterling Heights MI 48314-1038 | |
| (586) 997-1230 | |
| Not Available |
| Full Name | Skywalk Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 44344 Dequindre Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | Nadheer Issa (PRESIDENT) |
| Authorized Official Contact | 5869971230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skywalk Internal Medicine, Pc 44344 Dequindre Rd Suite 540 Sterling Heights MI 48314-1038 Ph: () - | Skywalk Internal Medicine, Pc 44344 Dequindre Rd Suite 540 Sterling Heights MI 48314-1038 Ph: (586) 997-1230 |
| NPI Number | 1538437066 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 02/20/2012 |
| Medicare PECOS PAC ID | 0143484154 |
|---|---|
| Medicare Enrollment ID | O20120601000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538437066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301074521 (Michigan) | Primary |
| Provider Name | Nadheer H Issa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568444677 PECOS PAC ID: 0547262875 Enrollment ID: I20070215000213 |
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