| Syed A S Makki Md Pc | |
|
1201 Stone St Suite 4 Port Huron MI 48060-3563 | |
| (810) 982-8484 | |
| (810) 982-8485 |
| Full Name | Syed A S Makki Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1201 Stone St, Port Huron, Michigan |
| Authorized Official Name and Position | Syed A S Makki (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 8109828484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syed A S Makki Md Pc 1201 Stone St Suite 4 Port Huron MI 48060-3563 Ph: (810) 982-8484 | Syed A S Makki Md Pc 1201 Stone St Suite 4 Port Huron MI 48060-3563 Ph: (810) 982-8484 |
| NPI Number | 1902970262 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 12/26/2013 |
| Medicare PECOS PAC ID | 9830359421 |
|---|---|
| Medicare Enrollment ID | O20120319000471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902970262 | NPI | - | NPPES |
| 108335810 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301032112 (Michigan) | Primary |
| Provider Name | Syed A S Makki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689879660 PECOS PAC ID: 4981703790 Enrollment ID: I20070620000088 |
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