| Keyyan Medical Pllc | |
|
22239 West Warren Ave Dearborn Heights MI 48127 | |
| (313) 908-4255 | |
| (313) 908-4255 |
| Full Name | Keyyan Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22239 West Warren Ave, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Ali S Makki (OWNER) |
| Authorized Official Contact | 3139084255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keyyan Medical Pllc 22239 West Warren Ave Dearborn Heights MI 48127 Ph: (313) 908-4255 | Keyyan Medical Pllc 22239 West Warren Ave Dearborn Heights MI 48127 Ph: (313) 908-4255 |
| NPI Number | 1497193957 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497193957 | NPI | - | NPPES |
| 1114032 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301048780 (Michigan) | Primary |
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