| Diab & Kinner Internal Medicine, P.c. | |
|
29703 Hoover Rd Suite A Warren MI 48093-2544 | |
| (586) 558-4081 | |
| (586) 558-4099 |
| Full Name | Diab & Kinner Internal Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 29703 Hoover Rd, Warren, Michigan |
| Authorized Official Name and Position | Carolann Kim Kinner (PHYSICIAN) |
| Authorized Official Contact | 5865584081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diab & Kinner Internal Medicine, P.c. 29703 Hoover Rd Suite A Warren MI 48093-8901 Ph: (586) 558-4081 | Diab & Kinner Internal Medicine, P.c. 29703 Hoover Rd Suite A Warren MI 48093-2544 Ph: (586) 558-4081 |
| NPI Number | 1316097942 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 02/28/2014 |
| Medicare PECOS PAC ID | 6709073620 |
|---|---|
| Medicare Enrollment ID | O20101203001242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316097942 | NPI | - | NPPES |
| 110E013380 | Other | MI | BCBSM |
| 1316097942 | Other | MI | HAP |
| 1316097942 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Carolann Kinner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306815089 PECOS PAC ID: 5496820979 Enrollment ID: I20101203001259 |
| Provider Name | Chaker Hamad Diab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477522381 PECOS PAC ID: 1052508975 Enrollment ID: I20101203001262 |
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