| Farnaz S Abhari Md Pc | |
|
4085 Pontiac Trl Orchard Lake MI 48323-1658 | |
| (248) 977-4628 | |
| (248) 977-4629 |
| Full Name | Farnaz S Abhari Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4085 Pontiac Trl, Orchard Lake, Michigan |
| Authorized Official Name and Position | Farnaz S Abhari (OWNER) |
| Authorized Official Contact | 2488510500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farnaz S Abhari Md Pc Po Box 252743 West Bloomfield MI 48325-2743 Ph: (248) 231-8369 | Farnaz S Abhari Md Pc 4085 Pontiac Trl Orchard Lake MI 48323-1658 Ph: (248) 977-4628 |
| NPI Number | 1629182886 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 05/25/2012 |
| Medicare PECOS PAC ID | 8527122951 |
|---|---|
| Medicare Enrollment ID | O20090130000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629182886 | NPI | - | NPPES |
| 4358551 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 65718 (Michigan) | Primary |
| Provider Name | Farnaz S Abhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508993882 PECOS PAC ID: 5395642656 Enrollment ID: I20090130000173 |
Home Medical Consultants Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2972 Orchard Pl, Orchard Lake, MI 48324 Phone: 586-431-0222 Fax: 248-682-2783 |