| Primedical Care Plc | |
|
6501 Greenfield Rd Detroit MI 48228-4780 | |
| (313) 908-7464 | |
| (313) 209-3002 |
| Full Name | Primedical Care Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6501 Greenfield Rd, Detroit, Michigan |
| Authorized Official Name and Position | Ahmad Ahmad (PRESIDENT) |
| Authorized Official Contact | 5867189090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primedical Care Plc 4 Nowlin Ct Dearborn MI 48124-3912 Ph: (734) 462-0340 | Primedical Care Plc 6501 Greenfield Rd Detroit MI 48228-4780 Ph: (313) 908-7464 |
| NPI Number | 1306313515 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 11/17/2021 |
| Medicare PECOS PAC ID | 9931444783 |
|---|---|
| Medicare Enrollment ID | O20181222000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306313515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Talisha Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215197082 PECOS PAC ID: 4688852650 Enrollment ID: I20110621000567 |
| Provider Name | Cecilia M Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699199000 PECOS PAC ID: 4284857962 Enrollment ID: I20140527001873 |
| Provider Name | Carmelite Dalmacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447660659 PECOS PAC ID: 9830312396 Enrollment ID: I20140602001210 |
| Provider Name | Ahmad M Yasin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598007510 PECOS PAC ID: 4587973318 Enrollment ID: I20160428000992 |
| Provider Name | Ahmad M Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992048607 PECOS PAC ID: 0648568501 Enrollment ID: I20161007001343 |
| Provider Name | Dequindra Blakey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417303355 PECOS PAC ID: 3173807419 Enrollment ID: I20170303001827 |
| Provider Name | Tonya Lee Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376050096 PECOS PAC ID: 7618231689 Enrollment ID: I20180430001042 |
| Provider Name | Ghaith Alhatemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851787048 PECOS PAC ID: 6204139033 Enrollment ID: I20180718000905 |
| Provider Name | Eman Hazimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811422413 PECOS PAC ID: 1951655323 Enrollment ID: I20181121001879 |
| Provider Name | Kelly A Lewis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942759543 PECOS PAC ID: 7113262858 Enrollment ID: I20181227000928 |
| Provider Name | Sarah Naji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013471275 PECOS PAC ID: 2163755489 Enrollment ID: I20190531000454 |
| Provider Name | Kaodichinma Ogbonna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972076693 PECOS PAC ID: 4587099635 Enrollment ID: I20200117000399 |
| Provider Name | Hala A Hojeije |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144848706 PECOS PAC ID: 7517383771 Enrollment ID: I20200818003146 |
| Provider Name | Hassan H Kassem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073017075 PECOS PAC ID: 3577984384 Enrollment ID: I20210701002898 |
| Provider Name | Azhar Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841804424 PECOS PAC ID: 0244636348 Enrollment ID: I20210914002704 |
| Provider Name | Awah L Ditah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851982557 PECOS PAC ID: 1850799040 Enrollment ID: I20211001000433 |
| Provider Name | Ashley C Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427630037 PECOS PAC ID: 8426443052 Enrollment ID: I20220317002753 |
| Provider Name | Mouna Bazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073225678 PECOS PAC ID: 7416327150 Enrollment ID: I20221221002116 |
| Provider Name | Sara Fawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245725712 PECOS PAC ID: 5799179651 Enrollment ID: I20230124000943 |
| Provider Name | Julia Christine Zaddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578026076 PECOS PAC ID: 6406229723 Enrollment ID: I20230307000500 |
| Provider Name | Ahmed Abdulreda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548944697 PECOS PAC ID: 1759749708 Enrollment ID: I20230622003309 |
| Provider Name | Razan Darwich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841976834 PECOS PAC ID: 4284080375 Enrollment ID: I20231025003269 |
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Mizrahi Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7633 E Jefferson Ave Ste 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
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