| Downriver Clinic Pc | |
|
8944 Macomb St Grosse Ile MI 48138-2089 | |
| (734) 675-0705 | |
| (734) 675-0747 |
| Full Name | Downriver Clinic Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8944 Macomb St, Grosse Ile, Michigan |
| Authorized Official Name and Position | Mounir Khaled (OWNER MEDICAL DIRECTOR PHYSICIAN) |
| Authorized Official Contact | 7346750705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Downriver Clinic Pc 8944 Macomb St Grosse Ile MI 48138-2089 Ph: (734) 675-0705 | Downriver Clinic Pc 8944 Macomb St Grosse Ile MI 48138-2089 Ph: (734) 675-0705 |
| NPI Number | 1205073285 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 07/15/2010 |
| Medicare PECOS PAC ID | 8325104813 |
|---|---|
| Medicare Enrollment ID | O20090309000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205073285 | NPI | - | NPPES |
| 1205073285 | Medicaid | MI | |
| 259686 | Other | MI | DEPT OF LABOR STATE |
| DO7341 | Other | MI | RAILROAD MEDICARE |
| 174382 | Other | MI | GREAT LAKES |
| 614738100 | Other | MI | DEPT OF LABOR |
| 110H242960 | Other | MI | BCBS GROUP |
| 82028050 | Other | MI | PROCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301091157 (Michigan) | Primary |
| Provider Name | Mounir K Khaled |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760678809 PECOS PAC ID: 7315023124 Enrollment ID: I20080319000372 |
Egger Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8950 Macomb St, Grosse Ile, MI 48138 Phone: 734-307-7037 | |
Ambulatory Medical Clinics Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8944 Macomb St, Grosse Ile, MI 48138 Phone: 734-542-6100 Fax: 734-542-6102 | |
Grosse Ile Urgent Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8944 Macomb St, Grosse Ile, MI 48138 Phone: 734-365-5200 Fax: 734-365-5201 |