| Mobile Care Physicians Group Pc | |
|
835 Mason Street Set A250 Dearborn MI 48126 | |
| (206) 738-4179 | |
| Not Available |
| Full Name | Mobile Care Physicians Group Pc |
|---|---|
| Speciality | Social Worker |
| Location | 835 Mason Street Set A250, Dearborn, Michigan |
| Authorized Official Name and Position | Kristin Victory (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8552273574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Care Physicians Group Pc 8270 Woodland Center Blvd, Pmb 548 Tampa FL 33614-2401 Ph: (630) 454-0257 | Mobile Care Physicians Group Pc 835 Mason Street Set A250 Dearborn MI 48126 Ph: (206) 738-4179 |
| NPI Number | 1780345900 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/17/2024 |
| Certification Date | 12/23/2022 |
| Medicare PECOS PAC ID | 2062805732 |
|---|---|
| Medicare Enrollment ID | O20220920003686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780345900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sajad Zalzala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639311509 PECOS PAC ID: 5092962209 Enrollment ID: I20200519001698 |
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