| Bellavista Medical Center Pllc | |
|
15830 Fort St Suite 7 Southgate MI 48195-1367 | |
| (734) 282-3236 | |
| (734) 282-4899 |
| Full Name | Bellavista Medical Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15830 Fort St, Southgate, Michigan |
| Authorized Official Name and Position | Mohamad Al-jarrah (OWNER) |
| Authorized Official Contact | 7342823236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellavista Medical Center Pllc 15830 Fort St Suite 7 Southgate MI 48195-1367 Ph: (734) 282-3236 | Bellavista Medical Center Pllc 15830 Fort St Suite 7 Southgate MI 48195-1367 Ph: (734) 282-3236 |
| NPI Number | 1447499736 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 06/18/2013 |
| Medicare PECOS PAC ID | 8022167634 |
|---|---|
| Medicare Enrollment ID | O20090601000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447499736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301057471 (Michigan) | Primary |
| Provider Name | Mohamad Al Jarrah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154382919 PECOS PAC ID: 1557332293 Enrollment ID: I20040806000681 |
A.m. Mussani, Md., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12815 Northline Rd, Southgate, MI 48195 Phone: 734-284-2090 Fax: 734-284-9666 | |
Yassir Attalla Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15450 Northline Rd Ste 102, Southgate, MI 48195 Phone: 734-282-2020 Fax: 734-282-2002 | |
Uzma Zafar Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 Heritage Dr Ste 1, Southgate, MI 48195 Phone: 734-283-3222 | |
Southfort Family Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13650 Fort St, Southgate, MI 48195 Phone: 734-281-2150 | |
Bedside Specialists Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12100 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-282-5502 | |
Megha Mohey Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14752 Northline Rd, Southgate, MI 48195 Phone: 734-785-6003 Fax: 734-985-2333 | |
Priority 1 Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15450 Northline Rd, Southgate, MI 48195 Phone: 313-898-4390 |