| Tenny Internal Medicine Pllc | |
|
22361 W Village Dr Dearborn MI 48124-2227 | |
| (313) 563-2288 | |
| (313) 561-7065 |
| Full Name | Tenny Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22361 W Village Dr, Dearborn, Michigan |
| Authorized Official Name and Position | Matthew Marcarian (OWNER) |
| Authorized Official Contact | 3135632288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tenny Internal Medicine Pllc 22361 W Village Dr Dearborn MI 48124-2227 Ph: (313) 563-2288 | Tenny Internal Medicine Pllc 22361 W Village Dr Dearborn MI 48124-2227 Ph: (313) 563-2288 |
| NPI Number | 1093346611 |
|---|---|
| Provider Enumeration Date | 02/02/2020 |
| Last Update Date | 02/03/2020 |
| Medicare PECOS PAC ID | 5991127896 |
|---|---|
| Medicare Enrollment ID | O20200623001724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093346611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gregory H Marcarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346228566 PECOS PAC ID: 3476741281 Enrollment ID: I20101221000536 |
| Provider Name | Matthew H Marcarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891773677 PECOS PAC ID: 1658569462 Enrollment ID: I20101221000549 |
| Provider Name | Heront Q Marcarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598743353 PECOS PAC ID: 0648468454 Enrollment ID: I20101221000598 |
| Provider Name | James J Bazzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700265014 PECOS PAC ID: 6002128394 Enrollment ID: I20180820002309 |
| Provider Name | Shady Hammoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215461082 PECOS PAC ID: 2365714532 Enrollment ID: I20200811003352 |
| Provider Name | Michelle S Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407524945 PECOS PAC ID: 2365830221 Enrollment ID: I20211026000626 |
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