| Acadian Clinic Pllc | |
|
14726 Champaign Rd Allen Park MI 48101 | |
| (313) 789-7966 | |
| (313) 789-7970 |
| Full Name | Acadian Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14726 Champaign Rd, Allen Park, Michigan |
| Authorized Official Name and Position | Diana El Masri (BILLING MANAGER) |
| Authorized Official Contact | 2019315713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadian Clinic Pllc 30700 Telegraph Rd Ste 1536 Bingham Farms MI 48025-4590 Ph: (248) 215-0048 | Acadian Clinic Pllc 14726 Champaign Rd Allen Park MI 48101 Ph: (313) 789-7966 |
| NPI Number | 1083119705 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 07/01/2018 |
| Medicare PECOS PAC ID | 1355688235 |
|---|---|
| Medicare Enrollment ID | O20190130002926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083119705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eqdam Radhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710155718 PECOS PAC ID: 1254485840 Enrollment ID: I20140819000473 |
| Provider Name | Ahlam Toma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295254134 PECOS PAC ID: 1951633395 Enrollment ID: I20191104002756 |
| Provider Name | Niki R Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104588896 PECOS PAC ID: 4789070459 Enrollment ID: I20220405002381 |
| Provider Name | Suad F Sarhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760128623 PECOS PAC ID: 5395980163 Enrollment ID: I20230518001145 |
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