| Above & Beyond Urgent Care Pllc | |
|
32413 Michigan Ave Wayne MI 48184-1424 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | Above & Beyond Urgent Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 32413 Michigan Ave, Wayne, Michigan |
| Authorized Official Name and Position | Eyad Jadallah (OWNER) |
| Authorized Official Contact | 3135752482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Above & Beyond Urgent Care Pllc 32413 Michigan Ave Wayne MI 48184-1424 Ph: () - | Above & Beyond Urgent Care Pllc 32413 Michigan Ave Wayne MI 48184-1424 Ph: (000) 000-0000 |
| NPI Number | 1255013553 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 04/23/2024 |
| Medicare PECOS PAC ID | 3375992357 |
|---|---|
| Medicare Enrollment ID | O20231215002608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255013553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Fuad M Rahimee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659510881 PECOS PAC ID: 3678742590 Enrollment ID: I20110811000052 |
| Provider Name | Eyad Jadallah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891242947 PECOS PAC ID: 6406138569 Enrollment ID: I20170125000833 |
| Provider Name | Kristen Marie Dessouki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700508512 PECOS PAC ID: 1456721463 Enrollment ID: I20230110000289 |
| Provider Name | Travis Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821711839 PECOS PAC ID: 9436511664 Enrollment ID: I20230818002499 |
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