| Eastern Care LLC | |
|
28401 Hoover Rd Ste 2 Warren MI 48093-5438 | |
| (586) 754-3830 | |
| (586) 754-3840 |
| Full Name | Eastern Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 28401 Hoover Rd Ste 2, Warren, Michigan |
| Authorized Official Name and Position | Muhammad Vasiq (CEO) |
| Authorized Official Contact | 2052159892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Care LLC 28401 Hoover Rd Ste 2 Warren MI 48093-5438 Ph: (586) 754-3830 | Eastern Care LLC 28401 Hoover Rd Ste 2 Warren MI 48093-5438 Ph: (586) 754-3830 |
| NPI Number | 1053027235 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 10/15/2023 |
| Certification Date | 10/15/2023 |
| Medicare PECOS PAC ID | 8820454739 |
|---|---|
| Medicare Enrollment ID | O20230519000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053027235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| Provider Name | Muhammad Vasiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750357836 PECOS PAC ID: 8325048044 Enrollment ID: I20200623002942 |
| Provider Name | Adeel Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427614668 PECOS PAC ID: 3779810551 Enrollment ID: I20221011000338 |
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