| Ahmad R Zeibo Md Pllc | |
|
15450 Northline Rd Ste 102 Southgate MI 48195-2490 | |
| (734) 720-7270 | |
| (734) 288-0934 |
| Full Name | Ahmad R Zeibo Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15450 Northline Rd Ste 102, Southgate, Michigan |
| Authorized Official Name and Position | Ahmad R Zeibo (MEMBER) |
| Authorized Official Contact | 7348464517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad R Zeibo Md Pllc Po Box 87763 Canton MI 48187-0763 Ph: (734) 846-4517 | Ahmad R Zeibo Md Pllc 15450 Northline Rd Ste 102 Southgate MI 48195-2490 Ph: (734) 720-7270 |
| NPI Number | 1336513530 |
|---|---|
| Provider Enumeration Date | 11/25/2015 |
| Last Update Date | 12/26/2022 |
| Medicare PECOS PAC ID | 3870893449 |
|---|---|
| Medicare Enrollment ID | O20151203002470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336513530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301074858 (Michigan) | Primary |
| Provider Name | Ahmad R Zeibo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922092816 PECOS PAC ID: 8820999238 Enrollment ID: I20040119000380 |
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