| West Dearborn Primary Care Physicians | |
|
2421 Monroe St Ste 103 Dearborn MI 48124-3043 | |
| (313) 447-0888 | |
| (313) 458-4004 |
| Full Name | West Dearborn Primary Care Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 2421 Monroe St Ste 103, Dearborn, Michigan |
| Authorized Official Name and Position | Soha Alfares (MD/PARTNER) |
| Authorized Official Contact | 3134470888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Dearborn Primary Care Physicians 2421 Monroe St Ste 103 Dearborn MI 48124-3043 Ph: (313) 447-0888 | West Dearborn Primary Care Physicians 2421 Monroe St Ste 103 Dearborn MI 48124-3043 Ph: (313) 447-0888 |
| NPI Number | 1427787241 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 06/15/2023 |
| Medicare PECOS PAC ID | 1456710839 |
|---|---|
| Medicare Enrollment ID | O20230703000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427787241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Soha Alfares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922339977 PECOS PAC ID: 4486897097 Enrollment ID: I20130829000829 |
| Provider Name | Ghattas Alkhoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215347000 PECOS PAC ID: 1254635253 Enrollment ID: I20201118001623 |
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