| Wathek Sakka Md Pc | |
|
23611 Goddard Rd Taylor MI 48180-4046 | |
| (734) 287-6110 | |
| (734) 287-9620 |
| Full Name | Wathek Sakka Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23611 Goddard Rd, Taylor, Michigan |
| Authorized Official Name and Position | Wathek Sakka (OWNER) |
| Authorized Official Contact | 7342876110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wathek Sakka Md Pc 23611 Goddard Rd Taylor MI 48180-4046 Ph: (734) 287-6110 | Wathek Sakka Md Pc 23611 Goddard Rd Taylor MI 48180-4046 Ph: (734) 287-6110 |
| NPI Number | 1427331354 |
|---|---|
| Provider Enumeration Date | 09/27/2011 |
| Last Update Date | 09/27/2011 |
| Medicare PECOS PAC ID | 1658548656 |
|---|---|
| Medicare Enrollment ID | O20120113000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427331354 | NPI | - | NPPES |
| 1316027865 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301068452 (Michigan) | Primary |
| Provider Name | Wathek Sakka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316027865 PECOS PAC ID: 2264429604 Enrollment ID: I20040428000678 |
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