| Alfp | |
|
24224 Joy Rd Suite 100 Redford MI 48239-1215 | |
| (313) 561-9090 | |
| (313) 561-3646 |
| Full Name | Alfp |
|---|---|
| Speciality | Family Medicine |
| Location | 24224 Joy Rd, Redford, Michigan |
| Authorized Official Name and Position | Basil Abdo (OWNER) |
| Authorized Official Contact | 3135619090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfp 24224 Joy Rd Suite 100 Redford MI 48239-1215 Ph: (313) 561-9090 | Alfp 24224 Joy Rd Suite 100 Redford MI 48239-1215 Ph: (313) 561-9090 |
| NPI Number | 1215380456 |
|---|---|
| Provider Enumeration Date | 07/22/2016 |
| Last Update Date | 07/22/2016 |
| Medicare PECOS PAC ID | 0648567180 |
|---|---|
| Medicare Enrollment ID | O20160927000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215380456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301081899 (Michigan) | Primary |
| Provider Name | Basil Abdo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730121443 PECOS PAC ID: 2062415706 Enrollment ID: I20060817000488 |
| Provider Name | Manaal Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932861648 PECOS PAC ID: 7911392469 Enrollment ID: I20220318001372 |
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