| Anha | |
|
704 E 9 Mile Rd Hazel Park MI 48030-1841 | |
| (313) 207-6210 | |
| Not Available |
| Full Name | Anha |
|---|---|
| Speciality | Clinical Medical Laboratory |
| Location | 704 E 9 Mile Rd, Hazel Park, Michigan |
| Authorized Official Name and Position | Mohamed Moustafa El-fakharany (PRESIDENT) |
| Authorized Official Contact | 3132076210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anha 6402 Golfview St Garden City MI 48135-2005 Ph: (313) 207-6210 | Anha 704 E 9 Mile Rd Hazel Park MI 48030-1841 Ph: (313) 207-6210 |
| NPI Number | 1396345666 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 12/08/2022 |
| Medicare PECOS PAC ID | 0840603429 |
|---|---|
| Medicare Enrollment ID | O20201229002150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396345666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Primary |
| Provider Name | Mohamed El-fakharany |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225242449 PECOS PAC ID: 3577663616 Enrollment ID: I20070829000174 |
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