Tawfiq J.hassan Md Pc | |
25325 Ford Rd Suite 100 Dearborn MI 48128-1086 | |
(313) 565-1111 | |
Not Available |
Full Name | Tawfiq J.hassan Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 25325 Ford Rd, Dearborn, Michigan |
Authorized Official Name and Position | Tawfiq J Hassan (PRESIDENT) |
Authorized Official Contact | 3135651111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tawfiq J.hassan Md Pc 25325 Ford Rd Suite 100 Dearborn MI 48128-1086 Ph: (313) 565-1111 | Tawfiq J.hassan Md Pc 25325 Ford Rd Suite 100 Dearborn MI 48128-1086 Ph: (313) 565-1111 |
NPI Number | 1902120108 |
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Provider Enumeration Date | 03/17/2010 |
Last Update Date | 10/13/2010 |
Medicare PECOS PAC ID | 2860684602 |
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Medicare Enrollment ID | O20101012000291 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902120108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301050895 (Michigan) | Primary |
Provider Name | Tawfiq J Hassan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144290909 PECOS PAC ID: 6608062914 Enrollment ID: I20101130000109 |
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