| Wassim Younes Md Plc | |
|
1213 Mason St Dearborn MI 48124-2841 | |
| (313) 278-2800 | |
| (313) 278-0030 |
| Full Name | Wassim Younes Md Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1213 Mason St, Dearborn, Michigan |
| Authorized Official Name and Position | Wassim Younes (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5866043444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wassim Younes Md Plc 1213 Mason St Dearborn MI 48124-2841 Ph: (313) 278-2800 | Wassim Younes Md Plc 1213 Mason St Dearborn MI 48124-2841 Ph: (313) 278-2800 |
| NPI Number | 1578518304 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 12/17/2012 |
| Medicare PECOS PAC ID | 4789696246 |
|---|---|
| Medicare Enrollment ID | O20060627000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578518304 | NPI | - | NPPES |
| 110H232210 | Other | MI | BCBS |
| 110H232210 | Other | MI | BCN |
| 4870203 | Medicaid | MI | |
| 500H232210 | Other | MI | BCBS GROUP |
| 110H205700 | Other | MI | BCBS GROUP |
| 110H205700 | Other | MI | BCN GROUP |
| DF4170 | Other | MI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301082559 (Michigan) | Primary |
| Provider Name | Mustapha M Mallah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104879683 PECOS PAC ID: 1850285875 Enrollment ID: I20040211000323 |
| Provider Name | Wassim M Younes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386610764 PECOS PAC ID: 9032121595 Enrollment ID: I20060627000177 |
| Provider Name | Roheila Seyed Tabai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801324876 PECOS PAC ID: 5395138762 Enrollment ID: I20220301000866 |
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