| Rochester Neurological Center, Pc | |
|
940 W Avon Rd Suite 8 Rochester Hills MI 48307-2760 | |
| (248) 651-5600 | |
| (248) 651-0300 |
| Full Name | Rochester Neurological Center, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 940 W Avon Rd, Rochester Hills, Michigan |
| Authorized Official Name and Position | Muhammad A Khan (OWNER) |
| Authorized Official Contact | 2486515600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochester Neurological Center, Pc Po Box 1108 Attn: Barb Simmons Ann Arbor MI 48106-1108 Ph: (734) 677-7400 | Rochester Neurological Center, Pc 940 W Avon Rd Suite 8 Rochester Hills MI 48307-2760 Ph: (248) 651-5600 |
| NPI Number | 1598770232 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 01/04/2008 |
| Medicare PECOS PAC ID | 4587651856 |
|---|---|
| Medicare Enrollment ID | O20040428000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598770232 | NPI | - | NPPES |
| 0F33871 | Other | MI | BCBS OF MI GROUP PIN |
| 1306330221 | Other | MI | BCBS |
| DC0138 | Other | MI | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Muhammad A Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558384693 PECOS PAC ID: 1355338641 Enrollment ID: I20040429000075 |
| Provider Name | Maha A Daimee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528455383 PECOS PAC ID: 5799087599 Enrollment ID: I20200928002456 |
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