| Access Behavioral Care Pllc | |
|
24714 Michigan Ave Dearborn MI 48124-1750 | |
| (313) 438-6691 | |
| (313) 406-3825 |
| Full Name | Access Behavioral Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 24714 Michigan Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Ashar H. Khan (OWNER) |
| Authorized Official Contact | 3134386691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Behavioral Care Pllc 24714 Michigan Ave Dearborn MI 48124-1750 Ph: (313) 438-6691 | Access Behavioral Care Pllc 24714 Michigan Ave Dearborn MI 48124-1750 Ph: (313) 438-6691 |
| NPI Number | 1174861959 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 04/23/2014 |
| Medicare PECOS PAC ID | 2668611740 |
|---|---|
| Medicare Enrollment ID | O20130621000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174861959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ashar H Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679646160 PECOS PAC ID: 5092604504 Enrollment ID: I20040312000782 |
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