Thamer Medical Pllc | |
2040 Monroe St Suite 206 Dearborn MI 48124-2950 | |
(313) 561-8796 | |
(313) 561-0277 |
Full Name | Thamer Medical Pllc |
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Speciality | Internal Medicine |
Location | 2040 Monroe St, Dearborn, Michigan |
Authorized Official Name and Position | Jawad Thamer (OWNER PHYSICIAN) |
Authorized Official Contact | 3135618796 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thamer Medical Pllc 2040 Monroe St Suite 206 Dearborn MI 48124-2950 Ph: (313) 561-8796 | Thamer Medical Pllc 2040 Monroe St Suite 206 Dearborn MI 48124-2950 Ph: (313) 561-8796 |
NPI Number | 1194135186 |
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Provider Enumeration Date | 04/30/2014 |
Last Update Date | 04/30/2014 |
Medicare PECOS PAC ID | 0547484024 |
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Medicare Enrollment ID | O20140624002412 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194135186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301080367 (Michigan) | Primary |
Provider Name | Jawad A Thamer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972573731 PECOS PAC ID: 9335165265 Enrollment ID: I20051020000410 |
Provider Name | Rula Atiya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548842123 PECOS PAC ID: 0840674917 Enrollment ID: I20220908003266 |
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