| Ehab Brikho Md Pc | |
|
23300 Ecorse Rd Taylor MI 48180-1768 | |
| (313) 291-6694 | |
| (313) 291-6694 |
| Full Name | Ehab Brikho Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23300 Ecorse Rd, Taylor, Michigan |
| Authorized Official Name and Position | Nancy Molnar (OFFICE MANAGER) |
| Authorized Official Contact | 7342916694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ehab Brikho Md Pc 23300 Ecorse Rd Taylor MI 48180-1768 Ph: (313) 291-6694 | Ehab Brikho Md Pc 23300 Ecorse Rd Taylor MI 48180-1768 Ph: (313) 291-6694 |
| NPI Number | 1013200708 |
|---|---|
| Provider Enumeration Date | 05/27/2011 |
| Last Update Date | 05/27/2011 |
| Medicare PECOS PAC ID | 8921273814 |
|---|---|
| Medicare Enrollment ID | O20111205000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013200708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301089701 (Michigan) | Primary |
| Provider Name | Ehab M Brikho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174735609 PECOS PAC ID: 5294903779 Enrollment ID: I20110728000199 |
| Provider Name | Suman Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639602469 PECOS PAC ID: 7416383484 Enrollment ID: I20200211001602 |
| Provider Name | Bashar M Brikho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780173898 PECOS PAC ID: 2062767783 Enrollment ID: I20220520001216 |
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