| Advanced MD Specialty Care PLLC | |
|
16226 Grand River Ave Detroit MI 48227-1824 | |
| (313) 836-5490 | |
| (313) 836-5224 |
| Full Name | Advanced MD Specialty Care PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 16226 Grand River Ave, Detroit, Michigan |
| Authorized Official Name and Position | Chadi Saad (PRESIDENT) |
| Authorized Official Contact | 3138365490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced MD Specialty Care PLLC 16226 Grand River Ave Detroit MI 48227-1824 Ph: (313) 836-5490 | Advanced MD Specialty Care PLLC 16226 Grand River Ave Detroit MI 48227-1824 Ph: (313) 836-5490 |
| NPI Number | 1225719693 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 0042673584 |
|---|---|
| Medicare Enrollment ID | O20230830003413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225719693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (NU) | Secondary |
| Provider Name | Elena Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598946782 PECOS PAC ID: 0244380731 Enrollment ID: I20090603000467 |
| Provider Name | Chadi Y Saad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114193646 PECOS PAC ID: 4486779337 Enrollment ID: I20100915000560 |
| Provider Name | Layla Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114471208 PECOS PAC ID: 8325308893 Enrollment ID: I20180131001796 |
| Provider Name | Kristina Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558986984 PECOS PAC ID: 8820451891 Enrollment ID: I20230824002023 |
| Provider Name | Noveen Rehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831883420 PECOS PAC ID: 5799123329 Enrollment ID: I20240402002675 |
| Provider Name | Pooja Kodali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477040608 PECOS PAC ID: 4688096340 Enrollment ID: I20240403001293 |
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