| Detroit Medical Consultants Pc | |
|
4100 Woodward Ave Detroit MI 48201-2173 | |
| (313) 974-6533 | |
| (313) 974-6713 |
| Full Name | Detroit Medical Consultants Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 Woodward Ave, Detroit, Michigan |
| Authorized Official Name and Position | Hassan A. Bazzi (OWNER) |
| Authorized Official Contact | 3132314716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Medical Consultants Pc 4100 Woodward Ave Detroit MI 48201-2173 Ph: (313) 974-6533 | Detroit Medical Consultants Pc 4100 Woodward Ave Detroit MI 48201-2173 Ph: (313) 974-6533 |
| NPI Number | 1609229848 |
|---|---|
| Provider Enumeration Date | 07/22/2016 |
| Last Update Date | 04/24/2018 |
| Medicare PECOS PAC ID | 3678854866 |
|---|---|
| Medicare Enrollment ID | O20161230000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609229848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101016436 (Michigan) | Primary |
| Provider Name | Kamal M Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205862067 PECOS PAC ID: 6305890260 Enrollment ID: I20050303000837 |
| Provider Name | Hassan A Bazzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457507006 PECOS PAC ID: 7214002039 Enrollment ID: I20080813000626 |
| Provider Name | Talisha Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215197082 PECOS PAC ID: 4688852650 Enrollment ID: I20110621000567 |
| Provider Name | Kimberly M Farrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982930038 PECOS PAC ID: 5294983110 Enrollment ID: I20120919000329 |
| Provider Name | Rizwan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376876102 PECOS PAC ID: 8527201607 Enrollment ID: I20130821000957 |
| Provider Name | Jessica K Uppal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124465257 PECOS PAC ID: 0143449512 Enrollment ID: I20140917000569 |
| Provider Name | Eli A Osman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912269663 PECOS PAC ID: 8628384633 Enrollment ID: I20150904000413 |
| Provider Name | Ali Jaber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285975250 PECOS PAC ID: 3072834811 Enrollment ID: I20160629003052 |
| Provider Name | Ali Lutfi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851633663 PECOS PAC ID: 2466746201 Enrollment ID: I20160810000276 |
| Provider Name | June Eileen Argel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871037903 PECOS PAC ID: 2365724747 Enrollment ID: I20170119000939 |
| Provider Name | Mohsin Reza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043604135 PECOS PAC ID: 2769797109 Enrollment ID: I20180716001863 |
| Provider Name | Saleh M Al Ameen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265829873 PECOS PAC ID: 7618286469 Enrollment ID: I20180731002790 |
| Provider Name | Ousman Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932677614 PECOS PAC ID: 8022357763 Enrollment ID: I20190225001995 |
| Provider Name | Fares N Mubarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831753466 PECOS PAC ID: 4688917305 Enrollment ID: I20190521002932 |
| Provider Name | Zienab Beydoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417513243 PECOS PAC ID: 6406185834 Enrollment ID: I20190911000705 |
| Provider Name | Leika Raychouni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083108617 PECOS PAC ID: 2466796628 Enrollment ID: I20210804002807 |
| Provider Name | Mohamed M Nasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558890277 PECOS PAC ID: 3577832245 Enrollment ID: I20211229000382 |
| Provider Name | Mohammad Ali Reza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699126672 PECOS PAC ID: 7911284856 Enrollment ID: I20220214001463 |
| Provider Name | Linda I Hadous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649733965 PECOS PAC ID: 0749681187 Enrollment ID: I20220215001219 |
| Provider Name | Yuliya Ostapenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366976128 PECOS PAC ID: 3779967500 Enrollment ID: I20220829001364 |
| Provider Name | Merajuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114389210 PECOS PAC ID: 6002145976 Enrollment ID: I20230411000193 |
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Mizrahi Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7633 E Jefferson Ave Ste 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
T L Sea Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15201 W Mcnichols Rd, Detroit, MI 48235 Phone: 313-516-3142 | |
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