| Canton Family Health Llc | |
|
6300 N Haggerty Rd Ste 220 Canton MI 48187-4472 | |
| (313) 283-1019 | |
| Not Available |
| Full Name | Canton Family Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6300 N Haggerty Rd Ste 220, Canton, Michigan |
| Authorized Official Name and Position | Samih Ajami (OWNER) |
| Authorized Official Contact | 3132831019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Family Health Llc 6698 Kings Mill Dr Canton MI 48187-5473 Ph: (313) 283-1019 | Canton Family Health Llc 6300 N Haggerty Rd Ste 220 Canton MI 48187-4472 Ph: (313) 283-1019 |
| NPI Number | 1275104333 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 09/16/2021 |
| Medicare PECOS PAC ID | 1557750973 |
|---|---|
| Medicare Enrollment ID | O20211105000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275104333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Samih Ajami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295113132 PECOS PAC ID: 6204132954 Enrollment ID: I20180524000163 |
| Provider Name | Shadia Ann Yeihey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982085726 PECOS PAC ID: 6608165550 Enrollment ID: I20180628001034 |
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