| Executive Health PC | |
|
1213 Mason St Dearborn MI 48124-2841 | |
| (313) 278-2800 | |
| (313) 278-0030 |
| Full Name | Executive Health PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1213 Mason St, Dearborn, Michigan |
| Authorized Official Name and Position | Massud Almassudi (PRESEDENT) |
| Authorized Official Contact | 3132782800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Health PC 1213 Mason St Dearborn MI 48124-2841 Ph: (313) 278-2800 | Executive Health PC 1213 Mason St Dearborn MI 48124-2841 Ph: (313) 278-2800 |
| NPI Number | 1528445632 |
|---|---|
| Provider Enumeration Date | 04/28/2015 |
| Last Update Date | 09/21/2015 |
| Medicare PECOS PAC ID | 1456672088 |
|---|---|
| Medicare Enrollment ID | O20150608000906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528445632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | () | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | () | Secondary |
| Provider Name | Mustapha M Mallah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104879683 PECOS PAC ID: 1850285875 Enrollment ID: I20040211000323 |
| Provider Name | Shehnaz Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619957420 PECOS PAC ID: 0446228308 Enrollment ID: I20040920000565 |
| Provider Name | Sadiq H Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538149828 PECOS PAC ID: 2769450618 Enrollment ID: I20040920000588 |
| Provider Name | Mary P Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740394055 PECOS PAC ID: 7618074139 Enrollment ID: I20070517000625 |
| Provider Name | Marissa a Baty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619941382 PECOS PAC ID: 4082708797 Enrollment ID: I20070925000420 |
| Provider Name | Massud T Almassudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700140431 PECOS PAC ID: 7012238678 Enrollment ID: I20150608002570 |
| Provider Name | Nadine Shebli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356237218 PECOS PAC ID: 3577032796 Enrollment ID: I20260518001763 |
| Provider Name | Stephen Shaheen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992657951 PECOS PAC ID: 7911470943 Enrollment ID: I20260622003165 |
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