| Ali H. Mahmood, Pllc | |
|
9850 Haggerty Rd Van Buren Twp MI 48111-3443 | |
| (734) 699-3080 | |
| Not Available |
| Full Name | Ali H. Mahmood, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9850 Haggerty Rd, Van Buren Twp, Michigan |
| Authorized Official Name and Position | Ali H Mahmood (OWNER) |
| Authorized Official Contact | 7346993080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali H. Mahmood, Pllc 9850 Haggerty Rd Van Buren Twp MI 48111-3443 Ph: (734) 699-3080 | Ali H. Mahmood, Pllc 9850 Haggerty Rd Van Buren Twp MI 48111-3443 Ph: (734) 699-3080 |
| NPI Number | 1306415021 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 06/18/2021 |
| Medicare PECOS PAC ID | 4183029465 |
|---|---|
| Medicare Enrollment ID | O20210825000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306415021 | NPI | - | NPPES |
| 4301500957 | Other | MI | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Ali H Mahmood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265954473 PECOS PAC ID: 9638426802 Enrollment ID: I20210825001084 |
Van Buren Urgent Care Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11650 Belleville Rd, Suite 101, Van Buren Twp, MI 48111 Phone: 734-699-9888 Fax: 734-293-1774 |