| Tarif Mustafa Md Pc | |
|
12940 W Warren Ave Dearborn MI 48126-1535 | |
| (313) 945-8210 | |
| Not Available |
| Full Name | Tarif Mustafa Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12940 W Warren Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Tarif Mustafa (MD) |
| Authorized Official Contact | 3139458210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarif Mustafa Md Pc 12940 W Warren Ave Dearborn MI 48126-1535 Ph: (313) 945-8210 | Tarif Mustafa Md Pc 12940 W Warren Ave Dearborn MI 48126-1535 Ph: (313) 945-8210 |
| NPI Number | 1255522090 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 10/13/2010 |
| Medicare PECOS PAC ID | 8628261872 |
|---|---|
| Medicare Enrollment ID | O20101020000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255522090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tarif H Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902870470 PECOS PAC ID: 9032187984 Enrollment ID: I20040920000615 |
| Provider Name | Saleh M Al Ameen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265829873 PECOS PAC ID: 7618286469 Enrollment ID: I20180731002790 |
| Provider Name | Saeedeh Elahi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457705139 PECOS PAC ID: 0345591467 Enrollment ID: I20180927003082 |
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