Thaeer Sawa Md Pllc | |
35450 Dequindre Rd Suite 106 Sterling Heights MI 48310-4810 | |
(586) 381-6869 | |
Not Available |
Full Name | Thaeer Sawa Md Pllc |
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Speciality | General Practice |
Location | 35450 Dequindre Rd, Sterling Heights, Michigan |
Authorized Official Name and Position | Thaeer Sawa (PRESIDENT) |
Authorized Official Contact | 5868837935 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thaeer Sawa Md Pllc 38800 Ryan Rd Ste 102 Sterling Heights MI 48310-2993 Ph: (586) 883-7935 | Thaeer Sawa Md Pllc 35450 Dequindre Rd Suite 106 Sterling Heights MI 48310-4810 Ph: (586) 381-6869 |
NPI Number | 1982142618 |
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Provider Enumeration Date | 02/01/2017 |
Last Update Date | 06/12/2024 |
Medicare PECOS PAC ID | 9638453491 |
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Medicare Enrollment ID | O20170223001116 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982142618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Thaeer E Sawa |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1093109241 PECOS PAC ID: 0446552525 Enrollment ID: I20161101000777 |
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