| Amer Aboukasm Md Pllc | |
|
1051 Yorkshire Rd Grosse Pointe Park MI 48230-1449 | |
| (313) 640-4656 | |
| Not Available |
| Full Name | Amer Aboukasm Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1051 Yorkshire Rd, Grosse Pointe Park, Michigan |
| Authorized Official Name and Position | Amer Aboukasm (PRESIDENT) |
| Authorized Official Contact | 3134604664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amer Aboukasm Md Pllc 20816 E 11 Mile Rd Ste 201 Saint Clair Shores MI 48081-1578 Ph: (586) 285-5783 | Amer Aboukasm Md Pllc 1051 Yorkshire Rd Grosse Pointe Park MI 48230-1449 Ph: (313) 640-4656 |
| NPI Number | 1356913867 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 07/14/2021 |
| Certification Date | 07/14/2021 |
| Medicare PECOS PAC ID | 9931502069 |
|---|---|
| Medicare Enrollment ID | O20210727000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356913867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Amer G Aboukasm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194754085 PECOS PAC ID: 7911042304 Enrollment ID: I20100310000464 |
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